Carol H Wallace

NPI #1962581702 in Winchester, Tennessee

Provider Information

NPI Number
1962581702
Entity Type
Organization
Organization Name
Carol H Wallace
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 3, 2006
Last Updated
Aug 14, 2025

Practice Location

Address
1201 DINAH SHORE BOULEVARD
ZIP Code
37398
Phone
(931) 967-2777

Authorized Official

Name
CAROL WALLACE, PHARM.D
Title
PIC OWNER
Phone
(931) 967-2777

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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