Om Virissar Pharmacy, INC

NPI #1104627504 in Elkridge, Maryland

Provider Information

NPI Number: 1104627504
Entity Type: Organization
Organization Name: Om Virissar Pharmacy, INC
Primary Specialty: Pharmacy
Enumeration Date: Mar 21, 2025
Last Updated: Mar 21, 2025

Practice Location

Address: 8186 LARK BROWN RD STE 101
City: Elkridge
State: Maryland
ZIP Code: 21075-6437
Phone: (443) 620-9990

Authorized Official

Name: DR. EMMANUEL NDE, PHARMD
Title: MANAGER
Phone: (571) 365-1833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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