Provider Demographics
NPI:1730660705
Name:FILAR, JILL MIRANDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:MIRANDA
Last Name:FILAR
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 1:2795 STEFAN PL
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-8492
Mailing Address - Country:US
Mailing Address - Phone:520-834-4744
Mailing Address - Fax:
Practice Address - Street 1:34 S ALLISON AVE
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-3622
Practice Address - Country:US
Practice Address - Phone:937-372-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03338120183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist