Provider Demographics
NPI:1093150120
Name:CHETZ INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:CHETZ INTERNATIONAL, INC.
Other - Org Name:GREENCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:972-780-5999
Mailing Address - Street 1:916 PECAN TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3168
Mailing Address - Country:US
Mailing Address - Phone:512-626-8899
Mailing Address - Fax:
Practice Address - Street 1:941 YORK DR STE 201
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2066
Practice Address - Country:US
Practice Address - Phone:972-780-5999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX284323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy