Individual
AHMIK T JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17850 GARLAND GROH BLVD, HAGERSTOWN, MD 21740-1944
(301) 714-1373
Mailing address
17850 GARLAND GROH BLVD, HAGERSTOWN, MD 21740-1944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25616
MD
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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