Provider Demographics
NPI:1437435294
Name:WINTERS, PATTI B (RPH)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:B
Last Name:WINTERS
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 1:5 OLD FARM HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1147
Mailing Address - Country:US
Mailing Address - Phone:203-426-3016
Mailing Address - Fax:203-426-3016
Practice Address - Street 1:144 BANK ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-2721
Practice Address - Country:US
Practice Address - Phone:203-881-9999
Practice Address - Fax:203-881-3163
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT10178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist