Individual
MRS. JILLIAN GRIZZARD FAJNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
328 W MAIN ST, WAVERLY DRUGS, WAVERLY, VA 23890
(804) 834-2233
Mailing address
406 MEADOW BANK RD, EMPORIA, VA 23847-7507
(434) 634-3737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011391
VA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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