# GAITHERSBURG RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619899697
- **Authorized official:** HILLEL BRULL (CEO)
- **Authorized official phone:** (732) 276-1551

## Contact information

- **Practice address:** 333 RUSSELL AVE STE 100, GAITHERSBURG, MD 20877-2815
- **Practice address phone:** (301) 216-5216
- **Mailing address:** 241 1ST ST, LAKEWOOD, NJ 08701-3320
- **Mailing address phone:** (732) 276-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2026
- **Last updated:** 07/29/2026