Organization
WYNNE APOTHECARY INC
Active
Organization
WYNNE APOTHECARY INC
Active
Other names
WYNNE APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY ELIZABETH COOPER PHARMD (NEW OWNER/PHARMACIST IN CHARGE)
(870) 238-8511
Entity
Organization
Contact information
Practice address
500 FALLS BLVD N, WYNNE, AR 72396-2612
(870) 238-8511
(870) 238-2135
Mailing address
PO BOX 361, 411 S FALLS BLVD, WYNNE, AR 72396-0361
(870) 238-8511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR14588
AR
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505407
—
AR
01
—
1994724
PK
—
Enumeration date
08/23/2005
Last updated
08/26/2025
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