Evergreen Pharmacy Llc
Pharmacy
10101 W Greenfield Ave, West Allis
Wisconsin, 53214-3953
414-533-6600 414-533-6601
Evergreen Pharmacy Llc is a Pharmacy in West Allis, Wisconsin. It is located at 10101 W Greenfield Ave, West Allis and it's customer support contact number is 414-533-6600. The authorized person of Evergreen Pharmacy Llc is Richard A Pearson who is Ceo of the pharmacy and his contact number is 414-727-5750. Active license number of Evergreen Pharmacy Llc is 9421-42 for Pharmacy in Wisconsin.
Evergreen Pharmacy Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Evergreen Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Evergreen Pharmacy Llc |
| Type: | Pharmacy |
| Location: | 10101 W Greenfield Ave, West Allis,
Wisconsin, 53214-3953 |
| Phone: | 414-533-6600 |
| Fax: | 414-533-6601 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Richard A Pearson |
| Position: | Ceo |
| Contact Number: | 414-727-5750 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1487101754 |
| NPI Enumeration Date: | 05 Sep, 2016 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 9421-42 | Wisconsin | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9421-42 | Other | Wisconsin | State Pharmacy License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10101 W Greenfield Ave,
West Allis, Wisconsin |
| Zip: | 53214-3953 |
| Phone Number: | 414-533-6600 |
| Fax Number: | 414-533-6601 |
Patients can reach Evergreen Pharmacy Llc at
10101 W Greenfield Ave, West Allis, Wisconsin or can
call on customer care at 414-533-6600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.