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Individual
DR. GWENDOLYN GREEN
Active
Individual
DR. GWENDOLYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D., RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43907
TX
1835G0303X
Geriatric Pharmacist
43907
TX
1835N1003X
Nutrition Support Pharmacist
43907
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
43907
TX
1835P1200X
Pharmacotherapy Pharmacist
43907
TX
1835P1300X
Psychiatric Pharmacist
43907
TX
Other
Enumeration date
04/21/2014
Last updated
05/23/2014
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