Health Diversity LLC

NPI #1013329184 in Cedar Hill, Texas

Provider Information

NPI Number: 1013329184
Entity Type: Organization
Organization Name: Health Diversity LLC
Primary Specialty: Pharmacist
Enumeration Date: May 23, 2014
Last Updated: May 23, 2014

Practice Location

Address: 610 UPTOWN BLVD
City: Cedar Hill
State: Texas
ZIP Code: 75104-3527
Phone: (469) 337-6402

Authorized Official

Name: GWENDOLYN GREEN, PHARM D., RPH
Title: OWNER
Phone: (972) 291-8864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist - Geriatric — Geriatric	1835G0303X
Pharmacist - Nutrition Support — Nutrition Support	1835N1003X
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X
Pharmacist - Pharmacotherapy — Pharmacotherapy	1835P1200X
Pharmacist - Psychiatric — Psychiatric	1835P1300X
Pharmacist	183500000X	Primary

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