Provider Demographics
NPI:1376678078
Name:GRUBBS, PATRICIA B (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:B
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5373 TIMBERLAKE DR
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23140-3186
Mailing Address - Country:US
Mailing Address - Phone:804-966-7007
Mailing Address - Fax:804-569-1323
Practice Address - Street 1:9520 CHAMBERLAYNE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3901
Practice Address - Country:US
Practice Address - Phone:804-559-4369
Practice Address - Fax:804-569-1323
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist