MEDICARE: WINKELMANN SONS DRUG CO

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160780	OTHER	MO	BCBS

General Provider Information

NPI Number	:	1578506366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINKELMANN SONS DRUG CO

Provider Business Mailing Address
First Line	:	2900 LEMAY FERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-3900
Country	:	US
Telephone Number	:	314-894-4666
Fax Number	:	314-894-5323

Provider Business Practice Location Address
First Line	:	2900 LEMAY FERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-3900
Country	:	US
Telephone Number	:	314-894-4666
Fax Number	:	314-894-5323

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DANIEL PAULE WINKELMANN JR.
Credential	:	PD
Telephone Number	:	314-894-4666

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/22/2020

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Directions to “WINKELMANN SONS DRUG CO ” Practice Location

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