Healthcare Provider Details

I. General information

NPI: 1780907113
Provider Name (Legal Business Name): SHARON LEE GEBHARDT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

19563 COASTAL HWY UNIT A
REHOBOTH BEACH DE
19971-6139
US

IV. Provider business mailing address

19563 COASTAL HWY UNIT A
REHOBOTH BEACH DE
19971-6139
US

V. Phone/Fax

Practice location:
  • Phone: 302-226-0251
  • Fax: 302-226-1120
Mailing address:
  • Phone: 302-226-0251
  • Fax: 302-226-1120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0003207
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: