Thomas Danville Wallace, CPHT
NPI #1265787147 in Waynesboro, Tennessee
Provider Information
- NPI Number
- 1265787147
- Entity Type
- Individual
- Name
- Thomas Danville Wallace, CPHT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacy Technician
- Credential
- CPHT
- Enumeration Date
- Jul 17, 2012
- Last Updated
- Jul 17, 2012
Practice Location
- Address
- 215 DEXTER L WOODS MEMORIAL BLVD
- City
- Waynesboro
- State
- Tennessee
- ZIP Code
- 38485-2416
- Phone
- (931) 722-5466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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