NPI | 1508859737 |
---|---|
Doing Business As | WYNNE APOTHECARY |
Entity Type | Organization |
Authorized Contact | STACY ELIZABETH COOPER New Owner/Pharmacist In Charge 870-238-8511 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR14588) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2005-08-23 |
Last Update Date | 2025-08-26 |