Provider Demographics
NPI:1356084818
Name:WINN, FELICIA IRENA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:IRENA
Last Name:WINN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:IRENA
Other - Last Name:PAQUETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 SUNSET TER
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-6328
Mailing Address - Country:US
Mailing Address - Phone:806-418-3436
Mailing Address - Fax:
Practice Address - Street 1:1701 N 23RD ST
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-7962
Practice Address - Country:US
Practice Address - Phone:806-655-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty