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
—
—
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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