Organization
GRETA MEDICAL SERVICES, INC.
Active
Other names
GRETA MEDICAL & PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ECATHERIANA PEREZ (PRESIDENT OWNER)
(305) 888-9699
Entity
Organization
Contact information
Practice address
1475 W OKEECHOBEE RD, SUITE 5, HIALEAH, FL 33010-2860
(305) 888-9699
(305) 888-9759
Mailing address
1475 W OKEECHOBEE RD, SUITE 5, HIALEAH, FL 33010-2860
(305) 888-9699
(305) 888-9759
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312094
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH 22573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1312094
AHCA LICENSE
FL
01
—
PH 22573
PHARMACY LICENSE
FL
Enumeration date
08/15/2006
Last updated
01/14/2008
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