Healthcare Provider Details

I. General information

NPI: 1770302283
Provider Name (Legal Business Name): C&W PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOSPITAL DR
MORRILTON AR
72110-4510
US

IV. Provider business mailing address

10 HOSPITAL DR
MORRILTON AR
72110-4510
US

V. Phone/Fax

Practice location:
  • Phone: 501-354-1460
  • Fax:
Mailing address:
  • Phone: 501-354-1460
  • Fax: 501-354-9724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAREN ELAINE CREE
Title or Position: PHARMACY OWNER
Credential:
Phone: 501-354-1460