Organization · Type 2 NPI

Evergreen Pharmaceutical LLC

Long Term Care Pharmacy · Portland, OR

NPI number 1235240391 Active

Practice location

11933 NE Glenn Widing Dr
Portland, OR 97220-9099

Call (503) 254-1647 Map

Fax (503) 262-8763

Mailing address

1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

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About NPI 1235240391

Evergreen Pharmaceutical LLC's National Provider Identifier is 1235240391, issued on Aug 31, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2024.