| NPI | 1679589964 |
|---|---|
| Doing Business As | ROANOKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRAVALLIKA KALI Officer 817-431-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 19859) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-19 |