Provider Demographics
NPI:1174515282
Name:GREEN, MONICA ROBINSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ROBINSON
Last Name:GREEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:DENISE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR STE 190
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2402
Mailing Address - Country:US
Mailing Address - Phone:713-242-2818
Mailing Address - Fax:713-242-2850
Practice Address - Street 1:6414 FANNIN ST STE G100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-704-2624
Practice Address - Fax:713-704-0993
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX427121835P1200X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care