Provider Demographics
NPI:1083303549
Name:GRIESER, KATARZYNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:
Last Name:GRIESER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4588 COACHFORD DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7229
Mailing Address - Country:US
Mailing Address - Phone:347-200-7097
Mailing Address - Fax:
Practice Address - Street 1:7930 WOODLAND CENTER BLVD STE 500
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2435
Practice Address - Country:US
Practice Address - Phone:727-220-8591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist