Organization
EVERGREEN HEALTH RX LLC
Active
Other names
Ferry Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY BOLOS (PIC)
(973) 344-0394
Entity
Organization
Contact information
Practice address
165 FERRY ST, NEWARK, NJ 07105-2179
(973) 344-0394
Mailing address
165 FERRY ST, NEWARK, NJ 07105-2179
(973) 344-0394
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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