Individual
KACHINA SUE OXENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4488 ELECTRIC RD, ROANOKE, VA 24018-0722
(540) 989-4448
(540) 776-1460
Mailing address
4488 ELECTRIC RD, ROANOKE, VA 24018-0722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215420
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202215420
PHARMACIST LICENSE
VA
Enumeration date
01/15/2019
Last updated
01/15/2019
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