Charles Wallace Marsh III, DPH
Individual provider Active NPI Pharmacist · MC Minnville, TN
NPI 1760480263 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1760480263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- TN3666 (TN)
- Practice address
- 1500 Sparta St
MC Minnville, TN 37110-1317 - Phone
- (931) 473-4471
- Fax
- (931) 473-2217
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN3666 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McMinnville Drug Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | TN3666 | TN | Yes |
Addresses
Primary practice location
1500 Sparta St
MC Minnville, TN 37110-1317
Mailing address
605 Clark Blvd
MC Minnville, TN 37110-1951
Phone (931) 473-8944
Other providers in MC Minnville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.