Provider Demographics
NPI:1821780974
Name:HUDSON, GAIL MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:MARIE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 FLEET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4238
Mailing Address - Country:US
Mailing Address - Phone:443-703-3680
Mailing Address - Fax:410-732-0513
Practice Address - Street 1:3700 FLEET ST STE 100
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4238
Practice Address - Country:US
Practice Address - Phone:443-703-3680
Practice Address - Fax:410-732-0513
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist