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Wilson Pharmacy LLC

Community/Retail Pharmacy in Wilson, AR · enumerated 2007 · authorized official Heather Wagner, Pharmacist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104954585

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Registry record

Entity type Organization (Type 2)
Legal business name Wilson Pharmacy LLC
Other name <Unavail>
Practice address 5 N Jefferson St, Wilson, AR, 72395
Phone (870) 655-8415
Fax (870) 655-8676
Enumeration date Feb 28, 2007
Last updated in NPPES Dec 7, 2016

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License AR20387 (AR) Primary

Authorized official

Name Heather Wagner
Title Pharmacist/Owner
Phone (870) 655-8415

Other identifiers

Identifier Type State Issuer
187710407 Medicaid AR -
2166426 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wilson Pharmacy LLC?
NPPES lists Heather Wagner (Pharmacist/Owner) as the authorized official for this organization.
What is the NPI number for Wilson Pharmacy LLC?
The NPI for Wilson Pharmacy LLC is 1104954585, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-07.