Provider Demographics
NPI:1669209458
Name:WARMACK PHARMACIES,INC.
Entity type:Organization
Organization Name:WARMACK PHARMACIES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:BUTCHER
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-352-2161
Mailing Address - Street 1:PO BOX 534
Mailing Address - Street 2:
Mailing Address - City:RISON
Mailing Address - State:AR
Mailing Address - Zip Code:71665-0534
Mailing Address - Country:US
Mailing Address - Phone:870-325-6262
Mailing Address - Fax:870-325-6265
Practice Address - Street 1:301 MAIN ST.
Practice Address - Street 2:
Practice Address - City:RISON
Practice Address - State:AR
Practice Address - Zip Code:71665
Practice Address - Country:US
Practice Address - Phone:870-325-6262
Practice Address - Fax:870-325-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy