Organization
WINFIELD PHARMACY INC
Active
Other names
Winfield Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LOAN BLINNE RPH (OWNER, PIC, AO)
(636) 668-8891
Entity
Organization
Contact information
Practice address
37 WINFIELD PLAZA, WINFIELD, MO 63389
(636) 668-8891
(636) 668-8893
Mailing address
37 WINFIELD PLAZA, WINFIELD, MO 63389
(636) 668-8891
(636) 668-8893
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2016040479
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346782604
—
MO
01
—
2166224
PK
—
Enumeration date
11/17/2016
Last updated
04/04/2017
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