# CORNERSTONE PHARMACY CONWAY, LLC

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

## Provider details

- **NPI number:** 1184483083
- **Authorized official:** JOHN WIRGES (OWNER/PHARMACIST IN CHARGE)
- **Authorized official phone:** (501) 328-3282

## Contact information

- **Practice address:** 815 HOGAN LN STE 10, CONWAY, AR 72034-7959
- **Practice address phone:** (501) 328-3282
- **Mailing address:** 815 HOGAN LN STE 10, CONWAY, AR 72034-7959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024