Organization
WYNNE MEDICAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOODART ONEAL PD (CEO)
(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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR06581
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406581
NABP NCPDP
—
Enumeration date
11/11/2005
Last updated
09/11/2025
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