Organization
CHS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN WILSON PHARMD (DIRECTOR)
(540) 266-6191
Entity
Organization
Contact information
Practice address
3 RIVERSIDE CIRCLE GROUND FLOOR, ROANOKE, VA 24016
(540) 526-1450
(540) 985-9614
Mailing address
3 RIVERSIDE CIRCLE GROUND FLOOR, ROANOKE, VA 24016
(540) 526-1450
(540) 985-9614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004435
VA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619253846
—
VA
01
—
2132436
PK
—
Enumeration date
11/02/2011
Last updated
06/30/2020
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