| NPI | 1013903764 |
|---|---|
| Doing Business As | ROANOKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRAVALLIKA KALI Officer 817-431-3110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 19859) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-05-19 |