Provider Demographics
NPI:1740605336
Name:DILL, AMY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:DILL
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 1:200 ALBERT SABIN WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0405
Mailing Address - Country:US
Mailing Address - Phone:513-584-8817
Mailing Address - Fax:513-584-0091
Practice Address - Street 1:200 ALBERT SABIN WAY
Practice Address - Street 2:SUITE 1209
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0405
Practice Address - Country:US
Practice Address - Phone:513-584-8817
Practice Address - Fax:513-584-0091
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist