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Formulab LLC

Community/Retail Pharmacy in Knoxville, TN · enumerated 2010 · authorized official Scotty Wyatt, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174834758

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Registry record

Entity type Organization (Type 2)
Legal business name Formulab LLC
Other name <Unavail>
Practice address 5821 Walden Dr, Knoxville, TN, 37919
Phone (865) 588-0689
Fax (865) 588-0680
Enumeration date Jun 29, 2010
Last updated in NPPES May 16, 2011

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 128 (TN) Primary

Authorized official

Name Scotty Wyatt
Title Member
Phone (865) 588-0689

Other identifiers

Identifier Type State Issuer
4443420 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Formulab LLC located?
The practice location on file with NPPES is in Knoxville, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-16.