Organization
EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC
Active
Other names
Omnicare of San Diego, Omnicare of San Diego #48217
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5601 OBERLIN DR, SUITE 124, SAN DIEGO, CA 92121-3747
(858) 453-4295
(885) 453-9983
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
01/04/2021
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