Organization
GREEN OAKS PHARMA INC.
Active
Other names
DFW Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LATA NARAWANE (AUTHORIZED OFFICIAL)
(817) 459-8400
Entity
Organization
Contact information
Practice address
711 E LAMAR BLVD STE 101, ARLINGTON, TX 76011-3854
(817) 459-8400
(817) 459-8402
Mailing address
711 E LAMAR BLVD STE 101, ARLINGTON, TX 76011-3854
(817) 459-8400
(817) 459-8402
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
31202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146411
—
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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