Provider Demographics
NPI:1447547286
Name:GREEN OAKS PHARMA INC.
Entity type:Organization
Organization Name:GREEN OAKS PHARMA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PRAFUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-457-5571
Mailing Address - Street 1:711 E. LAMAR BLVD
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-3888
Mailing Address - Country:US
Mailing Address - Phone:817-459-8400
Mailing Address - Fax:817-459-8402
Practice Address - Street 1:711 E. LAMAR BLVD
Practice Address - Street 2:SUITE # 101
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-3888
Practice Address - Country:US
Practice Address - Phone:817-459-8400
Practice Address - Fax:817-459-8402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy