Individual
JILL EXTRACT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18993 MUNCHY BRANCH RD, REHOBOTH BEACH, DE 19971
(302) 226-0220
Mailing address
18979 GOLDFINCH CV, REHOBOTH BEACH, DE 19971-4462
(484) 459-1540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A10004710
DE
183500000X
Pharmacist
RP030789L
PA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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