Individual
MR. CHARLES ALAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2636 JACKSBORO PIKE, LA FOLLETTE, TN 37766
(423) 566-1967
(423) 566-1797
Mailing address
PO BOX 100, JACKSBORO, TN 37757
(423) 871-1967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8938
TN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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