NPI | 1255623625 |
---|---|
Doing Business As | WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC. |
Entity Type | Organization |
Authorized Contact | LESLIE JOHNSON PIC 870-238-8531 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR 06581) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2011-05-04 |
Last Update Date | 2025-07-21 |