Provider Demographics
NPI:1720112055
Name:WINFIELD, ANN R (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:R
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1295 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3642
Mailing Address - Country:US
Mailing Address - Phone:409-839-2307
Mailing Address - Fax:409-839-2302
Practice Address - Street 1:1295 PEARL ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3642
Practice Address - Country:US
Practice Address - Phone:409-839-2307
Practice Address - Fax:409-839-2302
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist