Individual
MRS. CAROL HENSHAW WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1201 DINAH SHORE BOULEVARD, BENNETTS PHARMACY, WINCHESTER, TN 37398
(931) 967-2777
(931) 967-1264
Mailing address
PO BOX 70, BENNETTS PHARMACY, WINCHESTER, TN 37398
(931) 967-2777
(931) 967-1264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000008424
TN
332B00000X
Durable Medical Equipment & Medical Supplies
8424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534061
—
TN
Enumeration date
09/08/2011
Last updated
08/05/2025
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