Provider Demographics
NPI:1457364911
Name:WINKEL, ROSE ELLEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:ELLEN
Last Name:WINKEL
Suffix:
Gender:F
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:CMR 402 BOX 219
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09108
Mailing Address - Country:US
Mailing Address - Phone:314-590-5357
Mailing Address - Fax:
Practice Address - Street 1:AUF DER PLATTE 115
Practice Address - Street 2:
Practice Address - City:MACKENBACH
Practice Address - State:RHEINLAND PFALZ
Practice Address - Zip Code:67686
Practice Address - Country:DE
Practice Address - Phone:4963719-464-5357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO127181835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist