Individual
DR. DAVID GENE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
1307 DONELSON PKWY, DOVER, TN 37058-3724
(931) 232-0123
(931) 232-1185
Mailing address
1307 DONELSON PKWY, DOVER, TN 37058-3724
(931) 232-0123
(931) 232-1185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4339
TN
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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