Individual
MR. JERMAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
10456 BALTIMORE AVE, BELTSVILLE, MD 20705-2321
(301) 931-0348
(240) 266-2636
Mailing address
13005 MARTHAS CHOICE CIR, BOWIE, MD 20720-4704
(240) 432-0374
(240) 266-2636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14302
MD
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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