Organization
BURNT CHIMNEY PHARMACY
Active
Organization
BURNT CHIMNEY PHARMACY
Active
Other names
Super D Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY HETHERINGTON CPHT (CERTIFIED PHARMACY TECHNICIAN)
(540) 345-8342
Entity
Organization
Contact information
Practice address
2152 DALE AVE SE, ROANOKE, VA 24013-2136
(540) 345-8342
(540) 345-8237
Mailing address
2152 DALE AVE SE, ROANOKE, VA 24013-2136
(540) 345-8342
(540) 345-8237
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230003079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4828705
NABP
VA
Enumeration date
06/08/2005
Last updated
08/22/2020
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