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Mrs. Carol Henshaw Wallace, PHARMACIST
Durable Medical Equipment & Medical Supplies in Winchester, Tennessee
NPI 1104107838

Carol Henshaw Wallace is a Durable Medical Equipment & Medical Supplies based in Winchester, TN. Carol Henshaw Wallace practices in Winchester, TN and has the professional credentials of PHARMACIST. The NPI Number for Carol Henshaw Wallace is 1104107838 and holds a License No. 0000008424 (Tennessee).

The current practice location address for Carol Henshaw Wallace is 1201 Dinah Shore Boulevard, Winchester, TN and can be reached out via phone at 931-967-2777 and via fax at 931-967-1264.

Location: 1201 Dinah Shore Boulevard, Winchester, TN, 37398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104107838
Provider Name
Carol Henshaw Wallace
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Female
Address
1201 Dinah Shore Boulevard, Winchester, TN, 37398
Phone Number
931-967-2777
Fax Number
931-967-1264
Provider Enumeration Date
09/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1534061 05 TN
institution
Provider Business Practice Location Address Details
Address
1201 Dinah Shore Boulevard
City
Winchester
State
Tennessee
Zip
37398
Phone Number
931-967-2777
Fax Number
931-967-1264
person
Provider Business Mailing Address Details
Address
1201 Dinah Shore Boulevard
City
Winchester
State
Tennessee
Zip
37398
Phone Number
931-967-2777
Fax Number
931-967-1264
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
8424 (Tennessee)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0000008424 (Tennessee)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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