Organization
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE A JOHNSON (PHARMACIST/OWNER)
(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
718 FALLS BLVD S, WYNNE, AR 72396-3514
(870) 238-8531
(870) 238-5982
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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