Individual
MCCLELLAN GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5036 FERRELL PKWY, VIRGINIA BEACH, VA 23464-8867
(757) 495-3088
Mailing address
5036 FERRELL PKWY, VIRGINIA BEACH, VA 23464-8867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216046
VA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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