OrganizationActive
Evergreen Pharmaceutical, LLC
NPI 1982715124 · Long Term Care Pharmacy · Tukwila, WA
Provider details
- NPI number
- 1982715124
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Colbert, Sr Director, Payer Relations(401) 770-2751
Specialties & taxonomies
Suppliers
Practice location
12674 Gateway Dr S
Tukwila, WA 98168-3307
Phone: (425) 820-7600
Fax: (425) 825-2226
Approximate (ZIP-level) locationGet directions
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Other names (DBA / former)
- Doing business as
- Omnicare of Seattle
- Doing business as
- Omnicare of Seattle #48376
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2019-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.