Provider Demographics
NPI:1780907113
Name:GEBHARDT, SHARON LEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LEE
Last Name:GEBHARDT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19563 COASTAL HWY
Mailing Address - Street 2:UNIT A
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-6139
Mailing Address - Country:US
Mailing Address - Phone:302-226-0251
Mailing Address - Fax:302-226-1120
Practice Address - Street 1:19563 COASTAL HWY
Practice Address - Street 2:UNIT A
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6139
Practice Address - Country:US
Practice Address - Phone:302-226-0251
Practice Address - Fax:302-226-1120
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist