# WILSON PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILSON PHARMACY LLC
- **Other names:** Wilson Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487572020
- **Legal business name:** WILSON PHARMACY LLC
- **Authorized official:** HEATHER WAGNER (PHARMACIST/OWNER)
- **Authorized official phone:** (870) 561-1500

## Contact information

- **Practice address:** 5 N JEFFERSON ST, WILSON, AR 72395-1127
- **Practice address phone:** (870) 655-8415
- **Practice address fax:** (870) 655-8676
- **Mailing address:** PO BOX 128, WILSON, AR 72395-0128
- **Mailing address phone:** (870) 655-8415
- **Mailing address fax:** (870) 655-8676

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2026
- **Last updated:** 07/09/2026
