DAVID LAWRENCE WALLACE

FARRAGUT, TN
NPI1952609539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  7032)
Enumeration Date2011-03-07
Last Update Date2011-03-07
Business Address
-- DAVID LAWRENCE WALLACE
189 BROOKLAWN ST
FARRAGUT, TN 37934-2875
Phone number: 865-671-7920
Mailing Address
-- DAVID LAWRENCE WALLACE
189 BROOKLAWN ST
FARRAGUT, TN 37934-2875
Phone number: 865-671-7920