Organization
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Active
Organization
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Active
Other names
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BRYANT (PRESIDENT)
(870) 793-3999
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
3336C0003X
Community/Retail Pharmacy
Primary
06581
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423652
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/16/2011
Last updated
06/23/2011
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