Provider Demographics
NPI:1306122080
Name:SPILLE, SCOTT M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:SPILLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 BECKETT RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2902
Mailing Address - Country:US
Mailing Address - Phone:513-870-0560
Mailing Address - Fax:
Practice Address - Street 1:8800 BECKETT RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2902
Practice Address - Country:US
Practice Address - Phone:513-870-0560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-25135183500000X
KY012389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist