IndividualActive
Ahmik Jackson
NPI 1821666769 · Pharmacist · Hagerstown, MD
Provider details
- NPI number
- 1821666769
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25616 (MD)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
17850 Garland Groh Blvd
Hagerstown, MD 21740-1944
Phone: (301) 714-1373
Approximate (ZIP-level) locationGet directions
Mailing address
17850 Garland Groh Blvd
Hagerstown, MD 21740-1944
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.