Organization
BAALAAJEE INC
Active
Other names
Williamson Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDHYA VEMURI (PHARMACIST IN CHARGE / MANAGER)
(540) 355-7330
Entity
Organization
Contact information
Practice address
3416 WILLIAMSON RD NW, ROANOKE, VA 24012-4051
(540) 366-4481
(540) 366-7135
Mailing address
3416 WILLIAMSON RD NW, ROANOKE, VA 24012-4051
(540) 366-4481
(540) 366-7135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000940
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4803765
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/26/2006
Last updated
09/03/2015
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