Individual
MR. CARLTON JEROME WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
9001 WOODY TER, CLINTON, MD 20735-4255
(301) 856-6501
(301) 856-6507
Mailing address
13811 FLOYD ST, UPPER MARLBORO, MD 20772-6842
(301) 780-3171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14325
MD
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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