Provider Demographics
NPI:1508466251
Name:WINKLEPLECK, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:WINKLEPLECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5022 POINTCLEAR CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1963
Mailing Address - Country:US
Mailing Address - Phone:817-683-4291
Mailing Address - Fax:
Practice Address - Street 1:5022 POINTCLEAR CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1963
Practice Address - Country:US
Practice Address - Phone:817-683-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist