Provider Demographics
NPI:1528365814
Name:GILLE, BEATA (RPH)
Entity Type:Individual
Prefix:
First Name:BEATA
Middle Name:
Last Name:GILLE
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 1:24832 JOHN J WILLIAMS HWY
Mailing Address - Street 2:UNIT 3
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4997
Mailing Address - Country:US
Mailing Address - Phone:302-947-1204
Mailing Address - Fax:302-947-9402
Practice Address - Street 1:24832 JOHN J WILLIAMS HWY
Practice Address - Street 2:UNIT 3
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4997
Practice Address - Country:US
Practice Address - Phone:302-947-1204
Practice Address - Fax:302-947-9402
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist