Provider Demographics
NPI:1215043963
Name:WINTON, DALYN DANEE (DPH)
Entity Type:Individual
Prefix:MRS
First Name:DALYN
Middle Name:DANEE
Last Name:WINTON
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1202
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-1202
Mailing Address - Country:US
Mailing Address - Phone:918-775-4750
Mailing Address - Fax:
Practice Address - Street 1:1016 EAST RAY FINE BOULEVARD
Practice Address - Street 2:
Practice Address - City:ROLAND
Practice Address - State:OK
Practice Address - Zip Code:74954
Practice Address - Country:US
Practice Address - Phone:918-427-0400
Practice Address - Fax:918-427-0401
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist