Provider Demographics
NPI:1437753423
Name:HALFERTY, VALERIE GRIGG (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:GRIGG
Last Name:HALFERTY
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 1:9147 FAYEMONT DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2881
Mailing Address - Country:US
Mailing Address - Phone:804-216-0080
Mailing Address - Fax:
Practice Address - Street 1:8185 ATLEE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1807
Practice Address - Country:US
Practice Address - Phone:804-559-1303
Practice Address - Fax:804-559-1674
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist