Organization
METRO MEDICAL SKYLINE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLYN HARRISON WALLACE D.PH. (PHARMACIST)
(615) 868-0792
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE, SUITE 110, NASHVILLE, TN 37207-2519
(615) 868-0792
(615) 860-4541
Mailing address
3443 DICKERSON PIKE, SUITE 110, NASHVILLE, TN 37207-2519
(615) 868-0792
(615) 860-4541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4844
TN
Other
Enumeration date
12/15/2005
Last updated
10/09/2008
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