Individual
JARRYL M. WOLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
504 POCAHONTAS ST, MT LAKE PARK, MD 21550-2804
(301) 334-9521
Mailing address
PO BOX 127, FRIENDSVILLE, MD 21531-0127
(301) 746-5881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
002576
WV
183500000X
Pharmacist
006773
MD
183500000X
Pharmacist
025722
PA
Other
Enumeration date
05/18/2007
Last updated
03/01/2012
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