<Unavail>
LBN: Evergreen Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 875 E 10Th Ave , Hialeah FL 33010-4645. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Evergreen Pharmacy Inc can be contacted via phone (786) 360-4945, or through Oranusi, Augustine via phone (954) 478-2950.
Contact Information
Primary practice address
875 E 10Th Ave
Hialeah FL 33010-4645
Phone: (786) 360-4945
Fax: (786) 360-4955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH26138 | Florida |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1740549500 |
|---|---|
| LBN Legal business name | Evergreen Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Oranusi, Augustine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2012 |
| Last updated | Feb 20th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740549500 | NPPES |
| Florida | MEDICAID | 008565300 | |
| Florida | Other | 2137257 |
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