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Evergreen Pharmacy & Supplies LLC — NPI 1972076792, Maite, GU | NPI Central

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NPI 1972076792

OrganizationActive

Evergreen Pharmacy & Supplies LLC

NPI 1972076792 · Pharmacy · Maite, GU

Provider details

NPI number: 1972076792
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Gary Roy, Pharmacy Manager(671) 687-9175

Specialties & taxonomies

PharmacyPrimary333600000X
Suppliers

Practice location

520 Route 8

Maite, GU 96910

Phone: (671) 477-5091

More GU providers

Mailing address

520 Route 8

Maite, GU 96910

Registry dates

Enumerated: 2019-01-03
Last updated: 2019-01-03

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