Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Formulab LLC

Organization Pharmacy · NPI 1174834758

Formulab LLC is a Pharmacy in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5821 Walden Dr
Knoxville, TN 37919-6334
Phone: (865) 588-0689
Fax: (865) 588-0680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 128 (TN)
Pharmacy Taxonomy 333600000X

Record details

NPI number1174834758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scotty Wyatt — Member · (865) 588-0689
Other names Community Pharmacy
NPI enumeratedJune 29, 2010
Last updated in NPPESMay 16, 2011
Mailing address5821 Walden Dr, Knoxville, TN 37919-6334

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