Provider Demographics
NPI:1093430142
Name:WINTER, HEATHER AMBER (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:AMBER
Last Name:WINTER
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27B PARSONS VLY
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77303-1500
Mailing Address - Country:US
Mailing Address - Phone:814-505-5927
Mailing Address - Fax:
Practice Address - Street 1:910 W DAVIS ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2709
Practice Address - Country:US
Practice Address - Phone:936-539-1849
Practice Address - Fax:936-539-6589
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454439183500000X
TX68164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist