Healthcare Provider Details

I. General information

NPI: 1124305719
Provider Name (Legal Business Name): JILL L DURZINSKY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2011
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6165 GLENWAY AVE
CINCINNATI OH
45211-6338
US

IV. Provider business mailing address

6165 GLENWAY AVE
CINCINNATI OH
45211-6338
US

V. Phone/Fax

Practice location:
  • Phone: 513-719-2420
  • Fax: 513-719-2455
Mailing address:
  • Phone: 513-719-2420
  • Fax: 513-719-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012098
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: