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Organization
VIRGINIA VETERANS CARE CENTER PHARMACY
Active
Organization
VIRGINIA VETERANS CARE CENTER PHARMACY
Active
Other names
VIRGINIA VETERANS CARE CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM VANTHIEL (ADMINISTRATOR)
(540) 982-2860
Entity
Organization
Contact information
Practice address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
(540) 345-5701
Mailing address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
(540) 345-5701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
0201003706
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008506973
—
VA
01
—
2105086
PK
—
Enumeration date
04/07/2008
Last updated
09/19/2025
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