Individual
DR. JILL ASHWORTH DISTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
600 E BROAD ST, RICHMOND, VA 23219-1832
(804) 304-3287
Mailing address
7431 WASHINGTON ARCH DR, MECHANICSVILLE, VA 23111-4733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210605
VA
Other
Enumeration date
11/20/2015
Last updated
12/30/2015
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