Individual
DR. AMANDA LYNN WELLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
CORNER OF LAMONT & VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21708
IA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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