# WYNNE APOTHECARY INC

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

## Provider details

- **NPI number:** 1891576286
- **Authorized official:** STACY E COOPER (OWNER)
- **Authorized official phone:** (870) 238-8511

## Contact information

- **Practice address:** 500 FALLS BLVD N, WYNNE, AR 72396-2612
- **Practice address phone:** (870) 238-8511
- **Practice address fax:** (870) 238-2135
- **Mailing address:** PO BOX 361, WYNNE, AR 72396-0361
- **Mailing address phone:** (870) 238-8511
- **Mailing address fax:** (870) 238-2135

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 10/11/2023