Organization · Type 2 NPI

Evergreen Shop Pharmacy Inc

Community/Retail Pharmacy · Glendora, CA

NPI number 1083067995 Active

Practice location

150 S Grand Ave Ste K
Glendora, CA 91741-4715

Fax (626) 335-0220

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	54456 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1083067995

Evergreen Shop Pharmacy Inc's National Provider Identifier is 1083067995, issued on Jul 14, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Glendora, CA. The record was last updated on Aug 10, 2016.