=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992922793
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEBBIE K NEUBERGER RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2510 EL CAMINO REAL STE A
-----------------------------------------------------
City | CARLSBAD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92008-1273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-728-6655
-----------------------------------------------------
Fax | 877-728-6688
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1568 HAWK VIEW DR
-----------------------------------------------------
City | ENCINITAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92024-1273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-753-9312
-----------------------------------------------------
Fax | 877-728-6688
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RPH 39502
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 4254
-----------------------------------------------------
License Number State | SD
-----------------------------------------------------