Organization
EVERGREEN PHARMACY II, INC.
Active
Other names
EVERGREEN PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWANG-SIK KIM R.PH. (OWNER)
(267) 304-5831
Entity
Organization
Contact information
Practice address
702 DEKALB PIKE, BLUE BELL, PA 19422-1214
(610) 616-0608
(610) 616-0610
Mailing address
702 DEKALB PIKE, BLUE BELL, PA 19422-1214
(610) 616-0608
(610) 616-0610
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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