Provider Demographics
NPI:1245053628
Name:GURR, VALERIE D (RPH)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:D
Last Name:GURR
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 1:8440 MEADOWGROVE LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-4827
Mailing Address - Country:US
Mailing Address - Phone:678-469-6937
Mailing Address - Fax:
Practice Address - Street 1:8440 MEADOWGROVE LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-4827
Practice Address - Country:US
Practice Address - Phone:678-469-6937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0187393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy