Evergreen Shop Pharmacy Inc
Community/Retail Pharmacy
150 S Grand Ave Ste K, Glendora
California, 91741-4715
626-335-2442 626-335-0220
Evergreen Shop Pharmacy Inc is not a DME supplier for medicare equipments and products.
Evergreen Shop Pharmacy Inc is a Community/Retail Pharmacy in Glendora, California. It is located at 150 S Grand Ave Ste K, Glendora and it's customer support contact number is 626-335-2442. The authorized person of Evergreen Shop Pharmacy Inc is Manal Kest who is Corparation Officer of the pharmacy and his contact number is 310-866-3415. Active license number of Evergreen Shop Pharmacy Inc is 54456 for Community/Retail Pharmacy in California.
Evergreen Shop Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Evergreen Shop Pharmacy Inc 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 Shop Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 150 S Grand Ave Ste K, Glendora, California, 91741-4715 |
| Phone: | 626-335-2442 |
| Fax: | 626-335-0220 |
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: | Manal Kest |
| Position: | Corparation Officer |
| Contact Number: | 310-866-3415 |
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: | 1083067995 |
| NPI Enumeration Date: | 14 Jul, 2016 |
| NPI Last Update On: | 10 Aug, 2016 |
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 Shop Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 54456 | California | Primary | |
| 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 |
| 2162500 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 150 S Grand Ave Ste K, Glendora, California |
| Zip: | 91741-4715 |
| Phone Number: | 626-335-2442 |
| Fax Number: | 626-335-0220 |
Patients can reach Evergreen Shop Pharmacy Inc at
150 S Grand Ave Ste K, Glendora, California or can
call on customer care at 626-335-2442.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.