Wynne Medical Pharmacy Inc

LBN: Wynne Medical Pharmacy Inc
Wynne Medical Pharmacy Inc is an health care organization with primary practice located at 718 Falls Blvd S , Wynne AR 72396-3514. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Wynne Medical Pharmacy Inc can be contacted via phone (870) 238-8531, or through Oneal, Stephanie Goodart via phone (870) 238-8531.

Contact Information

Primary practice address
718 Falls Blvd S Wynne AR 72396-3514
Fax: (870) 238-5982
Website:
Authorized official contact:
Name: Oneal, Stephanie Goodart PD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR06581 Arkansas

Profile Details

NPI number 1457332850
LBN Legal business name Wynne Medical Pharmacy Inc
DBA Doing business as
Authorized official Oneal, Stephanie Goodart PD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457332850 NPPES
Other 0406581 NABP NCPDP

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