Provider Demographics
NPI:1992922793
Name:NEUBERGER, DEBBIE K (RPH)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:K
Last Name:NEUBERGER
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 1:1568 HAWK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1273
Mailing Address - Country:US
Mailing Address - Phone:760-753-9312
Mailing Address - Fax:877-728-6688
Practice Address - Street 1:2510 EL CAMINO REAL STE A
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1273
Practice Address - Country:US
Practice Address - Phone:877-728-6655
Practice Address - Fax:877-728-6688
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 39502183500000X
SD4254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist