Healthcare Provider Details

I. General information

NPI: 1548850209
Provider Name (Legal Business Name): CYNTHIA ROY WINTERS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S SERVICE RD
WEST MEMPHIS AR
72301-1726
US

IV. Provider business mailing address

300 S SERVICE RD
WEST MEMPHIS AR
72301-1726
US

V. Phone/Fax

Practice location:
  • Phone: 870-732-0283
  • Fax: 870-732-4871
Mailing address:
  • Phone: 870-732-0283
  • Fax: 870-732-4871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPD14845
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: