Healthcare Provider Details

I. General information

NPI: 1528365814
Provider Name (Legal Business Name): BEATA GILLE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24832 JOHN J WILLIAMS HWY UNIT 3
MILLSBORO DE
19966-4997
US

IV. Provider business mailing address

24832 JOHN J WILLIAMS HWY UNIT 3
MILLSBORO DE
19966-4997
US

V. Phone/Fax

Practice location:
  • Phone: 302-947-1204
  • Fax: 302-947-9402
Mailing address:
  • Phone: 302-947-1204
  • Fax: 302-947-9402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0003448
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: