Organization · Type 2 NPI

Carol H Wallace

Community/Retail Pharmacy · Winchester, TN

NPI number 1962581702 Active

Practice location

1201 Dinah Shore Boulevard
Winchester, TN 37398

Call (931) 967-2777 Map

Fax (931) 967-1264

Mailing address

PO Box 70, 1201 Dinah Shore Boulevard
Winchester, TN 37398

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X0000001203 (TN)
Long Term Care Pharmacy 3336L0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1962581702

Carol H Wallace's National Provider Identifier is 1962581702, issued on Nov 3, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Winchester, TN. The record was last updated on Aug 14, 2025.