Provider Demographics
NPI:1740988963
Name:REHBERG, EMMA (PHARMD)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:REHBERG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 CATTLEMEN RD UNIT 6316
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6338
Mailing Address - Country:US
Mailing Address - Phone:860-575-8634
Mailing Address - Fax:
Practice Address - Street 1:4301 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2566
Practice Address - Country:US
Practice Address - Phone:941-371-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist