Provider Demographics
NPI:1083983241
Name:WINKLES, EDWARD HUGH (RPH)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:HUGH
Last Name:WINKLES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6506 CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-4778
Mailing Address - Country:US
Mailing Address - Phone:850-810-3002
Mailing Address - Fax:850-810-9304
Practice Address - Street 1:6506 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-4778
Practice Address - Country:US
Practice Address - Phone:850-810-3002
Practice Address - Fax:850-810-9304
Is Sole Proprietor?:No
Enumeration Date:2011-12-17
Last Update Date:2011-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFS15551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFS15551OtherPHARMACY STATE LISCENSE NUMBER