OrganizationActive
Above (b2)
NPI 1487738027 · Non-Pharmacy Dispensing Site · Gambrills, MD
Provider details
- NPI number
- 1487738027
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Kimberly Bresnahan, Chief Operating Operator
- License
- D0013889 (MD)
Practice location
2401 Brandermill Boulevard
#100
Gambrills, MD 21054-1691
Phone: (410) 224-6483
Fax: (410) 224-6404
Mailing address
Po Box 6725
Annapolis, MD 21401-0725
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2012-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.