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Individual

CHALA WAYU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5501 BRAINERD RD, CHATTANOOGA, TN 37411-5309
(423) 894-0721
Mailing address
7255 LEE HWY APT 604, CHATTANOOGA, TN 37421-1708

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45114
TN

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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