Individual
OMID MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3611 BLADENSBURG RD, COLMAR MANOR, MD 20722-1809
(301) 277-6667
Mailing address
5449 SERVICEBERRY ST, CENTREVILLE, VA 20120-5010
(571) 274-9869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25344
MD
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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