Individual
MICHELLE VAN GERVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1455 TOWNE SQUARE BLVD NW, ROANOKE, VA 24012-1612
(540) 527-2364
(540) 527-2363
Mailing address
3153 CLAYVIEW CIR, SALEM, VA 24153-8662
(540) 529-7682
(540) 527-2363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202203587
VA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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