Carol H Wallace
Community/Retail Pharmacy
1201 Dinah Shore Boulevard, Winchester
Tennessee, 37398
931-967-2777 931-967-1264
Carol H Wallace is a Community/Retail Pharmacy in Winchester, Tennessee. It is located at 1201 Dinah Shore Boulevard, Winchester and it's customer support contact number is 931-967-2777. The authorized person of Carol H Wallace is Carol Wallace, PHARM.D who is Pic Owner of the pharmacy and his contact number is 931-967-2777. Active license number of Carol H Wallace is 0000001203 for Community/Retail Pharmacy in Tennessee. Carol H Wallace accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Carol H Wallace is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Carol H Wallace type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Carol H Wallace |
| Type: | Community/Retail Pharmacy |
| Location: | 1201 Dinah Shore Boulevard, Winchester,
Tennessee, 37398 |
| Phone: | 931-967-2777 |
| Fax: | 931-967-1264 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Carol Wallace |
| Credentials: | PHARM.D |
| Position: | Pic Owner |
| Contact Number: | 931-967-2777 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1962581702 |
| NPI Enumeration Date: | 03 Nov, 2006 |
| NPI Last Update On: | 14 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol H Wallace are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 0000001203 | Tennessee | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2094785 | Other | | Pk |
| 1534061 | Medicaid | Tennessee | |
Medicare Enrollment:
Carol H Wallace is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4082811724 | O20110817000007 | Bennetts Pharmacy | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 1355574153 | O20140501001412 | Carol H Wallace | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Carol H Wallace has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Ostomy Supplies | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 70, 1201 Dinah Shore Boulevard
Winchester, Tennessee |
| Zip: | 37398 |
| Phone Number: | 931-967-2777 |
| Fax Number: | 931-967-1264 |
Patients can reach Carol H Wallace at
1201 Dinah Shore Boulevard, Winchester, Tennessee or can
call on customer care at 931-967-2777.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.