Organization
EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC
Active
Other names
Omnicare of Cerritos, Omnicare of Cerritos #48211
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
13825 CERRITOS CORPORATE DR, SUITE A 1 & A2, CERRITOS, CA 90703-2471
(562) 229-3500
(562) 229-3595
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
08/31/2006
Last updated
01/04/2021
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