David Lawrence Wallace JR.

NPI #1952609539 in Farragut, Tennessee

Provider Information

NPI Number
1952609539
Entity Type
Individual
Name
David Lawrence Wallace JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Mar 7, 2011
Last Updated
Mar 7, 2011

Practice Location

Address
189 BROOKLAWN ST
ZIP Code
37934-2875
Phone
(865) 671-7920

Specialties & Taxonomy Codes

Specialty
Pharmacist

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