Organization
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Active
Other names
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JOHNSON PHARM D (PIC)
(870) 238-8531
Entity
Organization
Contact information
Practice address
718 FALLS BLVD S, WYNNE, AR 72396-3514
(870) 238-8531
(870) 238-5982
Mailing address
PO BOX 757, WYNNE, AR 72396-0757
(870) 238-8531
(870) 238-5982
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06581
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130090
PK
—
Enumeration date
05/04/2011
Last updated
07/21/2025
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