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Individual

DR. JACKSON CARNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15411 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20905-4162
(301) 476-8303
Mailing address
3642 GLENEAGLES DR, #1H, SILVER SPRING, MD 20906-1631
(301) 598-3312

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6631
MD

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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