Provider First Line Business Practice Location Address:
327 HERSHBERGER ROAD NW
Provider Second Line Business Practice Location Address:
INSTITUTIONAL PHARMACY BUILDING SUITE 1
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-265-2153
Provider Business Practice Location Address Fax Number:
540-265-2154
Provider Enumeration Date:
12/19/2005