Organization
EVERGREEN PHARMACEUTICAL, LLC
Active
Organization
EVERGREEN PHARMACEUTICAL, LLC
Active
Other names
Omnicare of Seattle, Omnicare of Seattle #48376
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
12674 GATEWAY DR S, TUKWILA, WA 98168-3307
(425) 820-7600
(425) 825-2226
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
03/01/2019
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