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VIRGINIA VETERANS CARE CENTER PHARMACY NPI 1063685535


NPI Information

NPI: 1063685535
Provider Name: VIRGINIA VETERANS CARE CENTER PHARMACY

Doing Business As: VIRGINIA VETERANS CARE CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4550 SHENANDOAH AVE NW
ROANOKE, VA
ZIP 24017
Phone: (540) 982-2860
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VIRGINIA VETERANS CARE CENTER PHARMACY is a long term care pharmacy pharmacy in Roanoke, VA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. VIRGINIA VETERANS CARE CENTER PHARMACY NPI is 1063685535. The provider is registered as an organization entity type.
The provider Is Doing Business As Virginia Veterans Care Center Pharmacy.

The provider's business location address is:

4550 SHENANDOAH AVE NW
ROANOKE, VA
ZIP 24017-749
Phone: (540) 982-2860
Fax: (540) 345-5701

The provider's authorized official is William Vanthiel .
The authorized official title is Administrator and has the following contact phone number (540) 982-2860.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy0201003706VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008506973MEDICAIDVIRGINIA
22105086OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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