Organization
CHS, INC
Active
Other names
Carilion Clinic Pharmacy Raphine
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN S WILSON (DIRECTOR)
(540) 266-6191
Entity
Organization
Contact information
Practice address
735 STEELES FORT RD, STE B, RAPHINE, VA 24472
(540) 851-1760
(540) 851-1765
Mailing address
2001 CRYSTAL SPRINGS AVE, STE 110, ROANOKE, VA 24014
(540) 266-6191
(540) 853-0910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004668
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153605
PK
—
Enumeration date
08/13/2015
Last updated
06/30/2020
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