Provider Demographics
NPI:1245401595
Name:CALKINS, JILL R (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:R
Last Name:CALKINS
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 1:2155 N TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-8947
Mailing Address - Country:US
Mailing Address - Phone:734-242-2385
Mailing Address - Fax:734-242-2389
Practice Address - Street 1:2155 N TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-8947
Practice Address - Country:US
Practice Address - Phone:734-242-2385
Practice Address - Fax:734-242-2389
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist