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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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