Organization
CORNERSTONE PHARMACY CONWAY, LLC
Active
Organization
CORNERSTONE PHARMACY CONWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G WIRGES IV (PHARMACIST IN CHARGE/OWNER)
(501) 328-3282
Entity
Organization
Contact information
Practice address
815 HOGAN LN STE 10, CONWAY, AR 72034-7959
(501) 328-3282
Mailing address
815 HOGAN LN STE 10, CONWAY, AR 72034-7959
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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