Healthcare Provider Details

I. General information

NPI: 1861308751
Provider Name (Legal Business Name): JILL PRELL PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5783 W ERIE ST
CHANDLER AZ
85226-2749
US

IV. Provider business mailing address

3973 W AMETHYST TRL
SAN TAN VALLEY AZ
85144-3882
US

V. Phone/Fax

Practice location:
  • Phone: 480-365-0222
  • Fax:
Mailing address:
  • Phone: 630-234-7108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS026645
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: