Provider Demographics
NPI:1831485671
Name:WOHL, JILL ASHLEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ASHLEY
Last Name:WOHL
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 1:421 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-4955
Mailing Address - Country:US
Mailing Address - Phone:651-439-0557
Mailing Address - Fax:651-439-0637
Practice Address - Street 1:421 3RD ST S
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-4955
Practice Address - Country:US
Practice Address - Phone:651-439-0557
Practice Address - Fax:651-439-0637
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist