Provider Demographics
NPI:1104193895
Name:MCGRAW, JILL NICOLE (RPH)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:NICOLE
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:MCGRAW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS
Mailing Address - Street 1:8 BURTON WOODS LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1321
Mailing Address - Country:US
Mailing Address - Phone:513-221-5270
Mailing Address - Fax:
Practice Address - Street 1:8 BURTON WOODS LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-1321
Practice Address - Country:US
Practice Address - Phone:513-221-5270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH 03223750-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist