Provider Demographics
NPI:1053633867
Name:WINTER, TERESA MELANIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MELANIE
Last Name:WINTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PAUL HUFF PKWY NW
Mailing Address - Street 2:500
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-2980
Mailing Address - Country:US
Mailing Address - Phone:423-476-5999
Mailing Address - Fax:423-559-0384
Practice Address - Street 1:200 PAUL HUFF PKWY NW
Practice Address - Street 2:500
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-2980
Practice Address - Country:US
Practice Address - Phone:423-476-5999
Practice Address - Fax:423-559-0384
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist