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Organization

DOWNHOME PHARMACY P C

Active
Other names
DOWNHOME PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON LUCAS RPH (OWNER)
(540) 966-4858
Entity
Organization

Contact information

Practice address
671 TERESA LN, ROANOKE, VA 24019-8453
(540) 966-4858
(540) 992-3273
Mailing address
671 TERESA LN, ROANOKE, VA 24019-8453
(540) 966-4858
(540) 992-3273

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0201003765
VA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2105206
PK
05
8512540
VA
Enumeration date
08/18/2006
Last updated
09/19/2025
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