Provider Demographics
NPI:1891207304
Name:CURT, JILLIAN LEE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:LEE
Last Name:CURT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:JILLIAN
Other - Middle Name:LEE
Other - Last Name:BEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:289 GREAT RD STE G1
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4766
Mailing Address - Country:US
Mailing Address - Phone:978-631-2186
Mailing Address - Fax:978-264-6300
Practice Address - Street 1:289 GREAT RD STE G1
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4766
Practice Address - Country:US
Practice Address - Phone:978-631-2186
Practice Address - Fax:978-264-6300
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist