OrganizationActive
Carol H Wallace
NPI 1962581702 · Community/Retail Pharmacy · Winchester, TN
Provider details
- NPI number
- 1962581702
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Carol Wallace, Pic Owner
Practice location
1201 Dinah Shore Boulevard
Winchester, TN 37398
Phone: (931) 967-2777
Fax: (931) 967-1264
Mailing address
Po Box 70
Winchester, TN 37398
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2025-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.