Individual
DR. GRANTT MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1925 ELECTRIC RD, SALEM, VA 24153-7424
(540) 387-1088
Mailing address
1925 ELECTRIC RD, SALEM, VA 24153-7424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207553
VA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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