Most Relevant Information
Provider Data
| NPI Number: | 1003813031 |
| Provider Name: | TERRY LYNN GREEN-WITTY RPH, BCPP |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P1300X |
| Specialty: | Pharmacist |
| License Number: | 25879 |
Most Important Dates
| Enumeration Date: | 07/06/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3501 MILLS AVE
AUSTIN
TX
787316309
Practice Location Phone/Fax
| Phone: | 5123242027 |
| Fax: | 5123242125 |
Provider Mailing Location
6012 ABILENE TRL
AUSTIN
TX
787492806
Provider Mailing Phone/Fax
| Phone: | 5123242027 |
| Fax: | 5123242125 |