Individual
DR. TRENTON WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
125 SONTAG DR, FRANKLIN, TN 37064-5757
(615) 969-3143
Mailing address
125 SONTAG DR, FRANKLIN, TN 37064-5757
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
10072
TN
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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