Jill Elizabeth Casserly, PHARMD

Individual provider Active NPI Psychiatric Pharmacist · Butner, NC

NPI 1104089127 · NPPES record last updated Jul 10, 2008

Key facts

NPI
1104089127
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric Pharmacist 1835P1300X
License
18923 (NC)
Practice address
1003 12TH St
Pharmacy Department
Butner, NC 27509-1626
Phone
(919) 575-7394
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18923NCMDPsychiatric Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 18923 NC Yes

Addresses

Primary practice location

1003 12TH St
Pharmacy Department
Butner, NC 27509-1626

Mailing address

1003 12TH St
Pharmacy Department
Butner, NC 27509-1626
Phone (919) 575-7394

Other providers in Butner, NC

All providers in Butner, NC · Psychiatric Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.