Organization
BALA VIRISAAR PHRAMACY INC, DBA FREEDOM DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJKAMAL BRAHMANAPALLI RPH (OWNER/PHARMACIST)
(410) 477-5130
Entity
Organization
Contact information
Practice address
7568 N POINT RD, BALTIMORE, MD 21219-1412
(410) 477-5130
(410) 477-9890
Mailing address
7568 N POINT RD, BALTIMORE, MD 21219-1412
(410) 477-5130
(410) 477-9890
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P04394
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409854400
—
MD
Enumeration date
06/17/2006
Last updated
08/22/2020
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