Gordon, Mary Renee
Gordon, Mary Renee is an sole proprietor health care provider with primary practice located at 10276 Southern Maryland Blvd , Dunkirk MD 20754-3028. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gordon, Mary Renee can be contacted via phone (410) 257-0392.Contact Information
Primary practice address
10276 Southern Maryland Blvd
Dunkirk MD 20754-3028
Phone: (410) 257-0392
Fax: (410) 257-0920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12103 | Maryland |
Profile Details
| NPI number | 1902672207 |
|---|---|
| LBN Legal business name | Gordon, Mary Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2023 |
| Last updated | Nov 28th, 2023 - about 2 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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