Organization
CHS INC
Active
Organization
CHS INC
Active
Other names
Carilion Clinic Pharmacy Roanoke Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN WILSON PHARMD (DIRECTOR)
(540) 266-6191
Entity
Organization
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 266-6480
(540) 983-1299
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 266-6480
(540) 983-1299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004436
VA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700162930
—
VA
01
—
2132435
PK
—
Enumeration date
11/02/2011
Last updated
06/30/2020
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