Provider Demographics
NPI:1508242413
Name:POLLOCK, JILL HAGWOOD (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:HAGWOOD
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 ROGERS RD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3803
Mailing Address - Country:US
Mailing Address - Phone:919-554-2699
Mailing Address - Fax:919-554-2199
Practice Address - Street 1:3113 ROGERS RD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3803
Practice Address - Country:US
Practice Address - Phone:919-554-2699
Practice Address - Fax:919-554-2199
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist