Provider Demographics
NPI:1902103922
Name:GEHLE, PIPER LAURANNE (PHARM D)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:LAURANNE
Last Name:GEHLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:PIPER
Other - Middle Name:GEHLE
Other - Last Name:MCPHERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:200 RUTLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-5848
Mailing Address - Country:US
Mailing Address - Phone:843-779-3690
Mailing Address - Fax:843-779-3691
Practice Address - Street 1:200 RUTLEDGE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5848
Practice Address - Country:US
Practice Address - Phone:843-779-3690
Practice Address - Fax:843-779-3691
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist