Healthcare Provider Details

I. General information

NPI: 1063083335
Provider Name (Legal Business Name): DEBORAH GAIL BILLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 TODD LANE
PACIFIC GROVE CA
93950
US

IV. Provider business mailing address

P.O. BOX 2533
MONTEREY CA
93942
US

V. Phone/Fax

Practice location:
  • Phone: 831-917-9425
  • Fax:
Mailing address:
  • Phone: 831-917-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number42253
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: