Individual
DAVID LAURENCE GRIDLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1712 CHASE ARBOR CMN, VIRGINIA BEACH, VA 23462-7412
(757) 962-7346
Mailing address
1712 CHASE ARBOR CMN, VIRGINIA BEACH, VA 23462-7412
(757) 962-7346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206726
VA
Other
Enumeration date
11/14/2005
Last updated
07/08/2007
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