Healthcare Provider Details

I. General information

NPI: 1730660705
Provider Name (Legal Business Name): JILL MIRANDA FILAR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 N BECHTLE AVE
SPRINGFIELD OH
45504-2005
US

IV. Provider business mailing address

2795 STEFAN PL
BEAVERCREEK OH
45431-8492
US

V. Phone/Fax

Practice location:
  • Phone: 937-323-0282
  • Fax:
Mailing address:
  • Phone: 520-834-4744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03338120
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: