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

Dr. Wallace Lee Whitaker, DPH

Individual provider Pharmacist · NPI 1447583844

Dr. Wallace Lee Whitaker, DPH is a Pharmacist in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

112 Sunset Dr
Johnson City, TN 37604-2503
Phone: (423) 283-0522
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5435 (TN)

Record details

NPI number1447583844
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorNo
NPI enumeratedSeptember 16, 2009
Last updated in NPPESDecember 29, 2010
Mailing address112 Sunset Dr, Johnson City, TN 37604-2503

Other providers in Johnson City