Organization
HEPRO.US INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED ELHAGE (PURCHASE MANAGER)
(786) 610-8781
Entity
Organization
Contact information
Practice address
325 E 10TH CT, HIALEAH, FL 33010-5150
(305) 887-5977
Mailing address
325 E 10TH CT, HIALEAH, FL 33010-5150
(305) 887-5977
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
FL
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578919767
NPI
FL
01
—
3012098689
FDA
FL
Enumeration date
05/06/2016
Last updated
07/27/2016
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