Provider Demographics
NPI:1578987871
Name:MUSICK, CHAD EVAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:EVAN
Last Name:MUSICK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 FREANKLIN RD SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:26013
Mailing Address - Country:US
Mailing Address - Phone:540-981-9321
Mailing Address - Fax:
Practice Address - Street 1:3533 FREANKLIN RD SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:26013
Practice Address - Country:US
Practice Address - Phone:540-981-9321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist