Organization
EVERGREEN PHARMACEUTICAL, LLC
Active
Organization
EVERGREEN PHARMACEUTICAL, LLC
Active
Other names
Omnicare of Spokane, Omnicare of Spokane #48375
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2820 N ASTOR ST, SPOKANE, WA 99207-2112
(509) 838-0870
(509) 455-5464
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
04/02/2021
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