Provider Demographics
NPI:1538579206
Name:PALAZZOLO, JILL (RPH)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:
Last Name:PALAZZOLO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17749 CLOVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-2076
Mailing Address - Country:US
Mailing Address - Phone:248-844-5033
Mailing Address - Fax:248-844-5065
Practice Address - Street 1:3175 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5042
Practice Address - Country:US
Practice Address - Phone:248-844-5033
Practice Address - Fax:248-844-5065
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020310331835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy