Provider Demographics
NPI:1326272048
Name:UYS, GRETEL (RPH)
Entity Type:Individual
Prefix:
First Name:GRETEL
Middle Name:
Last Name:UYS
Suffix:
Gender:F
Credentials:RPH
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 5011
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-5011
Mailing Address - Country:US
Mailing Address - Phone:352-361-7907
Mailing Address - Fax:352-622-5678
Practice Address - Street 1:8445 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9607
Practice Address - Country:US
Practice Address - Phone:352-854-2464
Practice Address - Fax:352-854-8693
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist