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Individual

DR. BAELE DETHRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
5917 HIGH ST W, PORTSMOUTH, VA 23703-4505
(757) 686-5929
Mailing address
1105 ALLENDALE DR APT C, VIRGINIA BEACH, VA 23451-5244

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222538
VA

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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