Evergreen Pharmacy

LBN: Evergreen Pharmacy
Evergreen Pharmacy is an health care organization with primary practice located at 118 E Red Bank Ave , Woodbury NJ 08096-3559. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Evergreen Pharmacy can be contacted via phone (856) 848-6446, or through Isaacson, Steven via phone (856) 848-6446.

Contact Information

Primary practice address
118 E Red Bank Ave Woodbury NJ 08096-3559
Phone: (856) 848-6446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isaacson, Steven
Phone: (856) 848-6446

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1215092671
LBN Legal business name Evergreen Pharmacy
DBA Doing business as
Authorized official Isaacson, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215092671 NPPES
New Jersey MEDICAID 4244303

Popular Providers