Organization
EVERGREEN PHARMACY INC
Active
Other names
EVERGREEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREEN HASSAN (DIRECTOR)
(480) 519-4640
Entity
Organization
Contact information
Practice address
4110 S MARYLAND PKWY STE 17, LAS VEGAS, NV 89119-7505
(702) 462-6262
(702) 462-5654
Mailing address
4110 S MARYLAND PKWY STE 17, LAS VEGAS, NV 89119-7505
(702) 462-6262
(702) 462-5654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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