Provider Demographics
NPI:1720683725
Name:WINTERS, VALERIE (RPH)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:WINTERS
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 1:797 RIVER ST APT 8
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-6405
Mailing Address - Country:US
Mailing Address - Phone:617-750-8762
Mailing Address - Fax:
Practice Address - Street 1:942A HYDE PARK AVE
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-3225
Practice Address - Country:US
Practice Address - Phone:617-364-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH238245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist