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General NPI Number Information
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NPI Number | 1033939343
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Entity Type | Individual
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Provider Name | CHRISTOPHER RAY WELLS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 709 W COLLEGE ST
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City | PULASKI
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State | TN
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Zip | 38478-3614
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Country | US
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Telephone | 931-363-1132
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Fax |
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Provider Business Mailing Address
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Address Line | 324 WOODS AVE N
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City | LEWISBURG
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State | TN
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Zip | 37091-2547
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Country | US
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Telephone | 931-675-1414
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 48470
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License Number State | TN
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