Metro Medical Skyline Pharmacy

NPI #1790761492 in Nashville, Tennessee

Provider Information

NPI Number: 1790761492
Entity Type: Organization
Organization Name: Metro Medical Skyline Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Dec 15, 2005
Last Updated: Oct 9, 2008

Practice Location

Address: 3443 DICKERSON PIKE
Address 2: SUITE 110
City: Nashville
State: Tennessee
ZIP Code: 37207-2519
Phone: (615) 868-0792

Authorized Official

Name: DR. GLYN HARRISON WALLACE, D.PH.
Title: PHARMACIST
Phone: (615) 868-0792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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