Healthcare Provider Details

I. General information

NPI: 1295133312
Provider Name (Legal Business Name): JILL HARROD PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILL PLOSZAY PHARM.D.

II. Dates (important events)

Enumeration Date: 12/06/2014
Last Update Date: 12/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7321 CANTRELL RD
LITTLE ROCK AR
72207-4144
US

IV. Provider business mailing address

7321 CANTRELL RD
LITTLE ROCK AR
72207-4144
US

V. Phone/Fax

Practice location:
  • Phone: 501-661-8247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPD10111
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPD10111
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: