Organization
C & S PHARMACEUTICALS INC
Active
Other names
EVERGREEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY DEVINE (OWNER/PRESIDENT)
(425) 821-8888
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE, STE E-20, KIRKLAND, WA 98034-3027
(425) 821-8888
(425) 821-4195
Mailing address
12911 120TH AVE NE, STE E-20, KIRKLAND, WA 98034-3027
(425) 821-8888
(425) 821-4195
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.00056950
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107640
PK
—
05
—
6005094
—
WA
05
—
6024491
—
WA
Enumeration date
08/10/2006
Last updated
06/13/2014
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