Provider Demographics
NPI:1669797643
Name:WINMARK DRUG LTD
Entity type:Organization
Organization Name:WINMARK DRUG LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:CHAIM
Authorized Official - Last Name:SMILOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-737-1280
Mailing Address - Street 1:1065 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3274
Mailing Address - Country:US
Mailing Address - Phone:212-737-1280
Mailing Address - Fax:212-472-6970
Practice Address - Street 1:1065 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:N.Y.
Practice Address - State:NY
Practice Address - Zip Code:07666-3274
Practice Address - Country:US
Practice Address - Phone:212-737-1280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31360333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy