Bowynn Inc
Organization Active NPI Community/Retail Pharmacy · Whitley City, KY
NPI 1598067274 · NPPES record last updated Mar 30, 2015
Key facts
- NPI
- 1598067274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07426 (KY)
- Legal business name
- BOWYNN INC
- Practice address
- 43 Medical LN
Whitley City, KY 42653-4216 - Phone
- (606) 376-1535
- Fax
- (606) 376-1537
- NPI assigned
- Dec 1, 2010
- Organization subpart
- No
Authorized official
- Name
- Sue Wynn
- Title
- Pharmacist
- Phone
- (606) 310-3105
Practitioners 2
-
Charles Bruce Boggs II, PHARM.D.
-
Eric Shannon Polston, PHARMD,DO
National Provider Directory
Locations
43 Medical Ln
Whitley City, KY 42653
Phone (606) 376-1535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07426 | KY | Yes |
Addresses
Primary practice location
43 Medical LN
Whitley City, KY 42653-4216
Mailing address
PO Box 1219
Whitley City, KY 42653
Phone (606) 310-3105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127768 | Other | PK |
Other names
- Wynn Express Pharmacy
Other providers in Whitley City, KY
- Associates in Eye Care, Inc.
- Grace Baker
- Jacqueline Tanie Baker
- Justin Barnett
- Bluegrass Oxygen Inc
- Kimberly Margarett Brumley
- Mark Anthony Bryant
- Buckeye Home Health Center, Inc.
- Burgess Drug Store Inc
- Burgess Drug Store Inc
All providers in Whitley City, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.