Individual
MARK BRUDENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(410) 571-2090
Mailing address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(410) 571-2090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22137
MD
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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