# W5 PHARMACY LTC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** W5 PHARMACY PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215723887
- **Legal business name:** W5 PHARMACY PLLC
- **Authorized official:** DR. CODY DEAN WIMBERLEY PHARMD (OWNER/PIC)
- **Authorized official phone:** (254) 559-6979

## Contact information

- **Practice address:** 1110 E WALKER ST, BRECKENRIDGE, TX 76424-3824
- **Practice address phone:** (254) 559-6979
- **Practice address fax:** (254) 559-6980
- **Mailing address:** 1110 E WALKER ST, BRECKENRIDGE, TX 76424-3824
- **Mailing address phone:** (254) 559-6979
- **Mailing address fax:** (254) 559-6980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2025
- **Last updated:** 09/23/2026