Healthcare Provider Details

I. General information

NPI: 1669209458
Provider Name (Legal Business Name): WARMACK PHARMACIES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MAIN ST.
RISON AR
71665
US

IV. Provider business mailing address

PO BOX 534
RISON AR
71665-0534
US

V. Phone/Fax

Practice location:
  • Phone: 870-325-6262
  • Fax: 870-325-6265
Mailing address:
  • Phone: 870-325-6262
  • Fax: 870-325-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: LYNN BUTCHER WILSON
Title or Position: OWNER
Credential:
Phone: 870-352-2161