# VIRGINIA VETERANS CARE CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VIRGINIA VETERANS CARE CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063685535
- **Authorized official:** WILLIAM VANTHIEL (ADMINISTRATOR)
- **Authorized official phone:** (540) 982-2860

## Contact information

- **Practice address:** 4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
- **Practice address phone:** (540) 982-2860
- **Practice address fax:** (540) 345-5701
- **Mailing address:** 4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
- **Mailing address phone:** (540) 982-2860
- **Mailing address fax:** (540) 345-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 0201003706 | VA | Yes |

## Other

- **Enumeration date:** 04/07/2008
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008506973 | — | VA |
| 01 | — | 2105086 | PK | — |