Organization
GRANDIN PHARMACY LLC
Active
Other names
West Pharmacy Grandin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WEST RPH (OWNER)
(540) 774-5500
Entity
Organization
Contact information
Practice address
1327 GRANDIN RD SW, ROANOKE, VA 24015-2315
(540) 777-3403
(540) 777-3406
Mailing address
1327 GRANDIN RD SW, ROANOKE, VA 24015-2315
(540) 777-3403
(540) 777-3406
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0201004016
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010142547
—
VA
01
—
4838578
NABP NUMBER
—
Enumeration date
07/30/2006
Last updated
09/21/2007
Update your record
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