Organization
EVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC
Active
Other names
Omnicare of Southern California #48210
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(513) 719-2600
Entity
Organization
Contact information
Practice address
8220 REMMET AVE, CANOGA PARK, CA 91304-4156
(818) 716-7414
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
07/23/2006
Last updated
01/04/2021
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