Provider Demographics
NPI:1699903278
Name:GERHART, SCOTT DENNIS (RPH)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:DENNIS
Last Name:GERHART
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2178 W UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-2011
Mailing Address - Country:US
Mailing Address - Phone:610-867-1004
Mailing Address - Fax:610-807-0239
Practice Address - Street 1:2178 W UNION BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2011
Practice Address - Country:US
Practice Address - Phone:610-867-1004
Practice Address - Fax:610-807-0239
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028048L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist