Organization · Type 2 NPI

Evergreen Pharmaceutical, LLC

Long Term Care Pharmacy · Tukwila, WA

NPI number 1982715124 Active

Practice location

12674 Gateway Dr S
Tukwila, WA 98168-3307

Call (425) 820-7600 Map

Fax (425) 825-2226

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.

2 other providers at this address

Other long term care pharmacy providers in Tukwila

See all in Tukwila →

NPI record

NPI: 1982715124
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Mar 1, 2019
Status: Active

Other names

<unavail>
Omnicare of Seattle · doing business as
Omnicare of Seattle #48376 · doing business as

Authorized official

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

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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.

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About NPI 1982715124

Evergreen Pharmaceutical, LLC's National Provider Identifier is 1982715124, issued on Aug 31, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Tukwila, WA. The record was last updated on Mar 1, 2019.