Provider Demographics
NPI:1578919767
Name:HEPRO.US INC
Entity Type:Organization
Organization Name:HEPRO.US INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PURCHASE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELHAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-610-8781
Mailing Address - Street 1:325 E 10TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5150
Mailing Address - Country:US
Mailing Address - Phone:305-887-5977
Mailing Address - Fax:
Practice Address - Street 1:325 E 10TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5150
Practice Address - Country:US
Practice Address - Phone:305-887-5977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291U00000X, 332100000X, 332B00000X
3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No291U00000XLaboratoriesClinical Medical Laboratory
No332100000XSuppliersDepartment of Veterans Affairs (VA) Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3012098689OtherFDA
FL1578919767OtherNPI
FL0=========OtherFDA FACILITY ESTABLISHMENT IDENTIFIER