Gordon, Bruce Myron

Gordon, Bruce Myron is an individual health care provider with primary practice located at 310 Otto Ln , Gambrills MD 21054-1056. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Gordon, Bruce Myron can be contacted via phone (410) 674-5181.

Contact Information

Primary practice address
310 Otto Ln Gambrills MD 21054-1056
Phone: (410) 674-5181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9123 Maryland
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 9123 Maryland

Profile Details

NPI number 1801880562
LBN Legal business name Gordon, Bruce Myron
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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