<Unavail>

LBN: Carol H Wallace
<Unavail> is an health care organization with primary practice located at 1201 Dinah Shore Boulevard , Winchester TN 37398. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Carol H Wallace can be contacted via phone (931) 967-2777, or through Wallace, Carol via phone (931) 967-2777.

Contact Information

Primary practice address
1201 Dinah Shore Boulevard Winchester TN 37398
Phone: (931) 967-2777
Fax: (931) 967-1264
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Carol PHARM.D
Phone: (931) 967-2777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000001203 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962581702
LBN Legal business name Carol H Wallace
DBA Doing business as <Unavail>
Authorized official Wallace, Carol PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Aug 14th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962581702 NPPES
Other 2094785 PK
MEDICAID 1534061 PK

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