Healthcare Provider Details

I. General information

NPI: 1902076334
Provider Name (Legal Business Name): WINKLER RX CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 06/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 S CODY RD
LE CLAIRE IA
52753-9236
US

IV. Provider business mailing address

PO BOX 256
LE CLAIRE IA
52753-0256
US

V. Phone/Fax

Practice location:
  • Phone: 563-289-5656
  • Fax: 563-289-3860
Mailing address:
  • Phone: 563-289-5656
  • Fax: 563-289-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number606
License Number StateIA

VIII. Authorized Official

Name: YVONNE ELAINE WINKLER
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 563-289-5656