Provider Demographics
NPI:1528217635
Name:WINFIELD HOLDINGS, LLC
Entity Type:Organization
Organization Name:WINFIELD HOLDINGS, LLC
Other - Org Name:WINFIELD DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-487-3079
Mailing Address - Street 1:186 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35594-5002
Mailing Address - Country:US
Mailing Address - Phone:205-487-3079
Mailing Address - Fax:205-487-3138
Practice Address - Street 1:186 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5002
Practice Address - Country:US
Practice Address - Phone:205-487-3079
Practice Address - Fax:205-487-3138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1131873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117205OtherPK
AL105076Medicaid