Wynn Martin Akins, R.PH.

Individual provider Active NPI Pharmacist · Waco, TX

NPI 1972835577 · NPPES record last updated Feb 6, 2010

Key facts

NPI
1972835577
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
20926 (TX)
Practice address
1301 Wooded Acres Dr
Waco, TX 76710-4437
Phone
(254) 776-1027
Fax
(254) 741-0479
NPI assigned
Feb 6, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
20926TXMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20926 TX Yes

Addresses

Primary practice location

1301 Wooded Acres Dr
Waco, TX 76710-4437

Mailing address

1301 Wooded Acres Dr
Waco, TX 76710-4437
Phone (254) 776-1027

Other providers in Waco, TX

All providers in Waco, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.