Provider Demographics
NPI:1275816845
Name:STARTARE, JILLIAN ALEXANDRA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:ALEXANDRA
Last Name:STARTARE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 MEYERS RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-7186
Mailing Address - Country:US
Mailing Address - Phone:724-972-9470
Mailing Address - Fax:
Practice Address - Street 1:100 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2928
Practice Address - Country:US
Practice Address - Phone:724-949-1583
Practice Address - Fax:724-949-1589
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP441054OtherPHARMACIST LICENSE NUMBER