Provider Demographics
NPI:1790076131
Name:WINKELJOHN, NEAL PAUL (RPH)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:PAUL
Last Name:WINKELJOHN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2366 HARDING HWY
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-3426
Mailing Address - Country:US
Mailing Address - Phone:419-222-1600
Mailing Address - Fax:
Practice Address - Street 1:2366 HARDING HWY
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3426
Practice Address - Country:US
Practice Address - Phone:419-222-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03318393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist