| NPI | 1063119378 | 
|---|---|
| Doing Business As | GREENPARK COMPOUNDING PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | CHANDRA S VIPPARLA Manager 713-432-9855 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2023-02-08 | 
| Last Update Date | 2023-02-08 |