Provider Demographics
NPI:1700377736
Name:GREENLEAF, CHERYL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:GREENLEAF
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24343
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77229-4343
Mailing Address - Country:US
Mailing Address - Phone:281-733-8090
Mailing Address - Fax:713-455-8303
Practice Address - Street 1:8835 N GREEN RIVER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078-4221
Practice Address - Country:US
Practice Address - Phone:281-733-8090
Practice Address - Fax:713-455-8303
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility