Green, Gwendolyn

Green, Gwendolyn is an individual health care provider with primary practice located at 610 Uptown Blvd , Cedar Hill TX 75104-3527. She recently has 6 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Green, Gwendolyn can be contacted via phone (469) 337-6402.

Contact Information

Primary practice address
610 Uptown Blvd Cedar Hill TX 75104-3527
Phone: (469) 337-6402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 43907 Texas
Pharmacy Service Providers / Geriatric 1835G0303X 43907 Texas
Pharmacy Service Providers / Nutrition Support 1835N1003X 43907 Texas
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 43907 Texas
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 43907 Texas
Pharmacy Service Providers / Psychiatric 1835P1300X 43907 Texas

Profile Details

NPI number 1255751954
LBN Legal business name Green, Gwendolyn
Credentials PHARM D., RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2014
Last updated May 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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