MEDICARE: DR. WESTIN KASH WINN PHARMD

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	183500000X	Pharmacist	7771685-1701	UT
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	7771685-1701	UT

General Provider Information

NPI Number	:	1720477458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WESTIN KASH WINN PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 556
Second Line	:
City	:	CASTLE DALE
State	:	UT
Zip	:	84513-0556
Country	:	US
Telephone Number	:	435-381-5464
Fax Number	:	435-381-5316

Provider Business Practice Location Address
First Line	:	590 E MAIN ST
Second Line	:
City	:	CASTLE DALE
State	:	UT
Zip	:	84513-4503
Country	:	US
Telephone Number	:	435-381-5464
Fax Number	:	435-381-5316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2015
Last Update Date	:	10/10/2021

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