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Organization

EVERGREEN PHARMACY GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JALAL HYDER JAFRI (PRESIDENT)
(203) 940-0507
Entity
Organization

Contact information

Practice address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(914) 734-8750
(914) 734-8708
Mailing address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(914) 734-8750
(914) 734-8708

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029859
NY

Other

Enumeration date
11/27/2009
Last updated
11/27/2009
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