Individual
JAZMIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-0925
Mailing address
4701 N CHARLES ST, BALTIMORE, MD 21210-2404
(410) 532-5063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24145
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH236263
MA
Other
Enumeration date
09/14/2015
Last updated
05/25/2022
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