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Todd Wiesenberg, DPH

Pharmacist in Knoxville, TN. Individual provider (NPI-1).

NPI number1265337992
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1265337992
Entity type
Individual (NPI-1)
Name
Todd Wiesenberg
Credential
DPH
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 12, 2026
Certification date
Oct 12, 2026
Last updated
Oct 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist7034TNYes

Practice location

5101 Angeles Dr
Knoxville, TN 37918-4502

Phone 865-207-6240

Mailing address

5101 Angeles Dr
Knoxville, TN 37918-4502

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