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General NPI Number Information
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NPI Number | 1619318490
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Entity Type | Individual
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Provider Name | JILLIAN RACHELLE STROUD PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 3006 WEST 28TH AVENUE
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City | PINE BLUFF
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State | AR
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Zip | 71603-9675
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Country | US
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Telephone | 870-489-1612
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Fax | 870-850-0177
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Provider Business Mailing Address
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Address Line | 3006 WEST 28TH AVENUE
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City | PINE BLUFF
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State | AR
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Zip | 71603-9675
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Country | US
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Telephone | 870-489-1612
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Fax | 870-850-0177
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD12368
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License Number State | AR
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