Individual
ALYSON COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 PLANTATION RD, ROANOKE, VA 24019-5216
(540) 283-5108
Mailing address
2106 AVENEL AVE SW, ROANOKE, VA 24015-3506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012464
VA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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