Individual
MR. WALTER RICHARD VANWINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
800 S US HIGHWAY 131, THREE RIVERS, MI 49093-8819
(269) 279-1200
(269) 279-1235
Mailing address
800 S US HIGHWAY 131, THREE RIVERS, MI 49093-8819
(269) 279-1200
(269) 279-1235
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302 410942
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302 410942
STATE OF MICHIGAN PHARMACY LICENSE
MI
Enumeration date
05/01/2014
Last updated
05/01/2014
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