Evergreen Discount Pharmacy, Inc
Organization Active NPI Community/Retail Pharmacy · Evergreen, AL
NPI 1821386475 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1821386475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 113781 (AL)
- Legal business name
- EVERGREEN DISCOUNT PHARMACY, INC
- Practice address
- 310 W Front St
Evergreen, AL 36401-2837 - Phone
- (251) 578-5061
- NPI assigned
- Jul 18, 2011
- Organization subpart
- No
Authorized official
- Name
- Russell Sheldt
- Title
- President/Pharmacy Manager
- Phone
- (850) 587-4008
Practitioners 1
-
Russell Sheldt, RPH
National Provider Directory
Locations
310 W Front St
Evergreen, AL 36401
Phone (251) 578-5061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 113781 | AL | Yes |
Addresses
Primary practice location
310 W Front St
Evergreen, AL 36401-2837
Mailing address
310 W Front St
Evergreen, AL 36401-2837
Other providers in Evergreen, AL
- Dura-Med Southeast Inc
- Kelsi Dykes
- Lakoya Edmonds
- Encore Rehabilitation, Inc.
- Evergreen Dental Center
- Evergreen Medical Center Hospice, LLC
- Evergreen Medical Center LLC
- Evergreen Medical Center LLC
- Evergreen Medical Center LLC
- Evergreen Medical Center LLC
All providers in Evergreen, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.