MATTHEW WALLACE

NASHVILLE, TN
NPI1841746096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  45397)
Additional Taxonomies183500000X Pharmacist
(Licence: MD  24391)
Enumeration Date2016-08-28
Last Update Date2021-09-23
Business Address
MATTHEW WALLACE
8141 SR-100
NASHVILLE, TN 37221
Phone number: 615-662-8885
Mailing Address
MATTHEW WALLACE
120 S 5TH ST APT 432
NASHVILLE, TN 37206-4272
Phone number:
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