Individual
DAVID EDWARD ROULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 GENERAL BOOTH BLVD BLDG SUITE119, VIRGINIA BEACH, VA 23454-5872
(757) 427-9129
(757) 427-1139
Mailing address
2129 GENERAL BOOTH BLVD BLDG SUITE119, VIRGINIA BEACH, VA 23454-5872
(757) 427-9129
(757) 427-1139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009908
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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