Organization
OMM, INC
Active
Other names
the medicine shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT Y SHAH PHARMACIST-OWNER (OWNER)
(703) 491-7883
Entity
Organization
Contact information
Practice address
14454 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-2806
(703) 491-7883
(703) 491-7923
Mailing address
14454 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-2806
(703) 491-7883
(703) 491-7923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011966
VA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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