Healthcare Provider Details

I. General information

NPI: 1649035106
Provider Name (Legal Business Name): ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1948 FRANKLIN RD SW STE 207
ROANOKE VA
24014-1154
US

IV. Provider business mailing address

1948 FRANKLIN RD SW STE 207
ROANOKE VA
24014-1154
US

V. Phone/Fax

Practice location:
  • Phone: 540-491-2258
  • Fax: 540-773-7786
Mailing address:
  • Phone: 540-491-2258
  • Fax: 540-773-7786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUSAN MEYER
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD, MBA, BCOP
Phone: 540-315-0821