Wynne Apothecary
LBN: Wynne Apothecary Inc
Wynne Apothecary is an health care organization with primary practice located at 411 Falls Blvd S , Wynne AR 72396-3501. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wynne Apothecary Inc can be contacted via phone (870) 238-8511, or through Cooper, Stacy Elizabeth via phone (870) 238-8511.
Contact Information
Primary practice address
411 Falls Blvd S
Wynne AR 72396-3501
Phone: (870) 238-8511
Fax: (870) 238-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR14588 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1508859737 |
|---|---|
| LBN Legal business name | Wynne Apothecary Inc |
| DBA Doing business as | Wynne Apothecary |
| Authorized official | Cooper, Stacy Elizabeth PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jan 3rd, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508859737 | NPPES |
| Other | 1994724 | PK | |
| MEDICAID | 100505407 | PK |
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