Individual
JILLIAN SOUDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1470 S COURT ST, CIRCLEVILLE, OH 43113-2165
(740) 474-9898
(740) 477-6053
Mailing address
2155 DELMONT RD SW, LANCASTER, OH 43130-7858
(614) 638-8713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03230085
OH
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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