Provider Demographics
NPI:1659680676
Name:AMOX, WINIFRED H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WINIFRED
Middle Name:H
Last Name:AMOX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5712 CASTLE HAYNE RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE HAYNE
Mailing Address - State:NC
Mailing Address - Zip Code:28429-5112
Mailing Address - Country:US
Mailing Address - Phone:910-675-2222
Mailing Address - Fax:910-675-2643
Practice Address - Street 1:5712 CASTLE HAYNE RD
Practice Address - Street 2:
Practice Address - City:CASTLE HAYNE
Practice Address - State:NC
Practice Address - Zip Code:28429-5112
Practice Address - Country:US
Practice Address - Phone:910-675-2222
Practice Address - Fax:910-675-2643
Is Sole Proprietor?:No
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist