Healthcare Provider Details

I. General information

NPI: 1982926846
Provider Name (Legal Business Name): ROBERT M GEBHARDS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 03/12/2023
Certification Date: 03/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 S PRAIRIE AVE
PUEBLO CO
81005-2253
US

IV. Provider business mailing address

6499 FARTHING DR
COLORADO SPRINGS CO
80906-7502
US

V. Phone/Fax

Practice location:
  • Phone: 719-564-0220
  • Fax:
Mailing address:
  • Phone: 719-564-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16896
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: