Provider Demographics
NPI:1326451626
Name:BARR, JILL (RPH)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:
Last Name:BARR
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 1:1489 MOUNT JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-8336
Mailing Address - Country:US
Mailing Address - Phone:336-246-3119
Mailing Address - Fax:336-246-3719
Practice Address - Street 1:1489 MOUNT JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-8336
Practice Address - Country:US
Practice Address - Phone:336-246-3119
Practice Address - Fax:336-246-3719
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist