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Individual

ANNA M WODLINGER JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3307 N BROAD ST, PHILADELPHIA, PA 19140-5101
(215) 707-3987
Mailing address
501 LANTERN LN, PHILADELPHIA, PA 19128-1054
(215) 508-1295

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP045225L
PA

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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