Provider Demographics
NPI:1811264997
Name:WINKLE, ELLA (PHARM D)
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:WINKLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 N MERRILL RD LOT 160
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-3245
Mailing Address - Country:US
Mailing Address - Phone:509-406-0123
Mailing Address - Fax:
Practice Address - Street 1:4212 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-5319
Practice Address - Country:US
Practice Address - Phone:602-581-6216
Practice Address - Fax:509-972-5401
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024326183500000X
WAPH 60229476183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist