Provider Demographics
NPI:1194362665
Name:WINCE, YVONNE IRENE (RPH)
Entity Type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:IRENE
Last Name:WINCE
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 1:10448 BRISTLECONE DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4027
Mailing Address - Country:US
Mailing Address - Phone:317-753-3628
Mailing Address - Fax:
Practice Address - Street 1:608 TWIN AIRE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203
Practice Address - Country:US
Practice Address - Phone:317-264-1755
Practice Address - Fax:317-264-1756
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist