Individual
JONATHAN JERREL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5901 HOLABIRD AVE, BALTIMORE, MD 21224-6015
(443) 613-7571
Mailing address
5901 HOLABIRD AVE, BALTIMORE, MD 21224-6015
(443) 613-7571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21693
MD
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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