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NPI 1033740691

OrganizationActive

Evergreen Pharmacy Inc

NPI 1033740691 · Pharmacy · Las Vegas, NV

Provider details

NPI number: 1033740691
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Shereen Hassan, Director

Practice location

4110 S Maryland Pkwy Ste 17

Las Vegas, NV 89119-7505

Phone: (702) 462-6262

Fax: (702) 462-5654

More NV providers

Mailing address

4110 S Maryland Pkwy Ste 17

Las Vegas, NV 89119-7505

Registry dates

Enumerated: 2020-01-31
Last updated: 2020-01-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Evergreen Pharmacy Inc — NPI 1033740691, Las Vegas, NV | NPI Central