MEDICARE: WYNNE APOTHECARY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1891576286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WYNNE APOTHECARY INC

Provider Business Mailing Address
First Line	:	PO BOX 361
Second Line	:
City	:	WYNNE
State	:	AR
Zip	:	72396-0361
Country	:	US
Telephone Number	:	870-238-8511
Fax Number	:	870-238-2135

Provider Business Practice Location Address
First Line	:	500 FALLS BLVD N
Second Line	:
City	:	WYNNE
State	:	AR
Zip	:	72396-2612
Country	:	US
Telephone Number	:	870-238-8511
Fax Number	:	870-238-2135

Authorized Official
Title or Position	:	OWNER
Name	:	STACY E COOPER
Credential	:
Telephone Number	:	870-238-8511

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	10/11/2023

Similar Medicare Providers

1508859737 — WYNNE APOTHECARY INC
Practice Location Address:

500 FALLS BLVD N
WYNNE, AR
72396-2612

Practice Phone: 870-238-8511
Practice Fax: 870-238-2135

1538058060 — HAYLEY OWENS
Practice Location Address:

500 FALLS BLVD N
WYNNE, AR
72396-2612

Practice Phone: 870-238-8511
Practice Fax:

1669323242 — DELTA CHIROPRACTIC PLLC
Practice Location Address:

719 HAMILTON AVE E
WYNNE, AR
72396-2313

Practice Phone: 870-587-0640
Practice Fax:

1932623360 — CANDIS NICOLE ADAMS APRN
Practice Location Address:

601 JULIA AVE E
WYNNE, AR
72396-3506

Practice Phone: 870-238-0377
Practice Fax: 870-238-5583

1992703243 — CALDWELL DISCOUNT DRUG CO., INC.
Practice Location Address:

804 FALLS BLVD S
WYNNE, AR
72396-3505

Practice Phone: 870-238-7085
Practice Fax: 870-238-8937

1184625402 — MR. RICHARD EUGENE BOECKMANN P.D.
Practice Location Address:

411 FALLS BLVD S
WYNNE, AR
72396-3501

Practice Phone: 870-238-8511
Practice Fax: 870-238-2135

Directions to “WYNNE APOTHECARY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.