Individual
DR. JEREMY MICHAEL WALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(800) 228-4973
Mailing address
3012 BROOKVIEW FOREST DR, NASHVILLE, TN 37211-7049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000039402
TN
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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