Individual
CHRISTOPHER WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-6850
Mailing address
326 OAK HAVEN DR, KINGSPORT, TN 37664-5716
(423) 416-1602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44150
TN
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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