Individual
JEREMIAH GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 WHITE OAK RD, FREDERICKSBURG, VA 22405-2551
(540) 368-5870
(540) 372-2077
Mailing address
50 WHITE OAK RD, FREDERICKSBURG, VA 22405-2551
(540) 368-5870
(540) 372-2077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217284
VA
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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