Organization
CHS, INC
Active
Organization
CHS, INC
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN WILSON PHARMD (DIRECTOR OF RETAIL PHARMACY)
(540) 266-6191
Entity
Organization
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, STE 110, ROANOKE, VA 24014-2462
(540) 266-6191
(540) 853-0910
Mailing address
2001 CRYSTAL SPRING AVE SW, STE 110, ROANOKE, VA 24014-2462
(540) 266-6191
(540) 853-0910
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0201002117
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528035771
—
VA
Enumeration date
08/31/2016
Last updated
08/31/2016
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