Provider Demographics
NPI:1134154610
Name:WINOVICH, MILON E (RPH)
Entity type:Individual
Prefix:MR
First Name:MILON
Middle Name:E
Last Name:WINOVICH
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 1:6248 DURBAN DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8650
Mailing Address - Country:US
Mailing Address - Phone:614-878-1509
Mailing Address - Fax:
Practice Address - Street 1:1570 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2755
Practice Address - Country:US
Practice Address - Phone:614-294-2642
Practice Address - Fax:614-294-2645
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-20185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist