Organization · Type 2 NPI

Evergreen Pharmaceutical of California, LLC

Long Term Care Pharmacy · Cerritos, CA

NPI number 1679685994 Active

Practice location

13825 Cerritos Corporate Dr, Suite A 1 & A2
Cerritos, CA 90703-2471

Call (562) 229-3500 Map

Fax (562) 229-3595

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.

NPI record

NPI: 1679685994
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Jan 4, 2021
Status: Active

Other names

<unavail>
Omnicare of Cerritos · doing business as
Omnicare of Cerritos #48211 · doing business as

Authorized official

Susan Colbert
SR Director, Payer Relations
(401) 770-2751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1679685994

Evergreen Pharmaceutical of California, LLC's National Provider Identifier is 1679685994, issued on Aug 31, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Cerritos, CA. The record was last updated on Jan 4, 2021.