Individual
CHRISTY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1746 MEMORIAL DR, CLARKSVILLE, TN 37043-4514
(931) 647-6031
Mailing address
1746 MEMORIAL DR, CLARKSVILLE, TN 37043-4514
(931) 647-6031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10520
TN
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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