Individual
JERRY VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8925
Mailing address
7152 PROCLAMATION PL, FREDERICK, MD 21703-2980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24364
MD
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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