Provider Demographics
NPI:1942917398
Name:JEREZANO, GREISSY CAROLINA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GREISSY
Middle Name:CAROLINA
Last Name:JEREZANO
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 1:2883 MYSTIC RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-1465
Mailing Address - Country:US
Mailing Address - Phone:832-978-0880
Mailing Address - Fax:
Practice Address - Street 1:515 POST OAK BLVD STE 510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-9436
Practice Address - Country:US
Practice Address - Phone:866-278-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist