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Organization
THE WELLNESS CENTER PHARMACY, INC.
Active
Organization
THE WELLNESS CENTER PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL J DAVIS D.PH. (ONWER)
(423) 954-2585
Entity
Organization
Contact information
Practice address
7304 JARNIGAN RD, CHATTANOOGA, TN 37421-3042
(423) 954-2585
(423) 954-2460
Mailing address
7304 JARNIGAN RD, CHATTANOOGA, TN 37421-3042
(423) 954-2585
(423) 954-2460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7526
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3071760
TN PROVIDER PHARMACY ID #
TN
01
—
3100789
TN PROVIDER SUPPLY ID #
TN
01
—
3203
PHARMACY STATE LICENSE
TN
01
—
4431780
NAPB
TN
Enumeration date
01/11/2007
Last updated
03/07/2023
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