Individual
MS. KIMBERLYN WALSH GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4601 IRONBOUND RD, EASTERN STATE HOSPITAL, WILLIAMSBURG, VA 23188-2652
(757) 253-5327
(757) 253-4521
Mailing address
123 BLACKHEATH, WILLIAMSBURG, VA 23188-7482
(757) 258-0442
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0202009171
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202009171
PHARMACIST LICENSE
VA
Enumeration date
07/28/2005
Last updated
08/24/2009
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