Individual
MISS AMANDA WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4375 BRAMBLETON AVE, ROANOKE, VA 24018-3404
(540) 772-0601
Mailing address
4375 BRAMBLETON AVE, ROANOKE, VA 24018-3404
(540) 772-0601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211747
VA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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