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Individual

DR. JEFFREY INGALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
11190 VEIRS MILL RD, CVS/PHARMACY, SILVER SPRING, MD 20902-2553
(301) 942-1791
(301) 942-0145
Mailing address
11190 VEIRS MILL RD, CVS/PHARMACY, SILVER SPRING, MD 20902-2553
(301) 942-1791
(301) 942-0145

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20806
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20806
MARYLAND PHARMACIST LICENSE
MD
01
V20806
MARYLAND IMMUNIZING PHARMACIST LICENSE
MD
Enumeration date
06/08/2014
Last updated
06/08/2014
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