Organization · Type 2 NPI

Evergreen Pharmacy LLC

Pharmacy · West Allis, WI

NPI number 1487101754 Active

Practice location

10101 W Greenfield Ave
West Allis, WI 53214-3953

Fax (414) 533-6601

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	9421-42 (WI)
Long Term Care Pharmacy	3336L0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1487101754

Evergreen Pharmacy LLC's National Provider Identifier is 1487101754, issued on Sep 5, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in West Allis, WI. The record was last updated on Mar 7, 2023.