# WINN ARMY COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114328473
- **Authorized official:** MS. NYSHIKA DESHEA STALEY (PHARMACY TECHNICIAN)
- **Authorized official phone:** (912) 435-6040

## Contact information

- **Practice address:** 1061 HARMON AVE, FORT STEWART, GA 31314-5641
- **Practice address phone:** (912) 435-6040
- **Mailing address:** 1061 HARMON AVE, FORT STEWART, GA 31314-5641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 09/05/2014