Healthcare Provider Details

I. General information

NPI: 1679878672
Provider Name (Legal Business Name): TIMOTHY L ALLISH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 DECHERD BLVD
DECHERD TN
37324-3655
US

IV. Provider business mailing address

315 N JEFFERSON ST
WINCHESTER TN
37398-1329
US

V. Phone/Fax

Practice location:
  • Phone: 931-967-1218
  • Fax: 931-968-9479
Mailing address:
  • Phone: 931-967-6743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7753
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number7753
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9197
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19189
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: