Healthcare Provider Details

I. General information

NPI: 1922903129
Provider Name (Legal Business Name): ALLYSON MARIE HUNDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 FRANKLIN RD SW
ROANOKE VA
24014-1111
US

IV. Provider business mailing address

2351 FRANKLIN RD SW
ROANOKE VA
24014-1111
US

V. Phone/Fax

Practice location:
  • Phone: 540-985-6491
  • Fax: 540-985-6497
Mailing address:
  • Phone: 540-985-6491
  • Fax: 540-985-6497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223958
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: