Individual
AMANDA JANE WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1331 SAVANNAH CIR, NOBLE, OK 73068-3001
(405) 692-1882
(405) 692-5914
Mailing address
1331 SAVANNAH CIR, NOBLE, OK 73068-3001
(405) 692-1882
(405) 692-5914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14255
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14255
PHARMACY LICENSE NUMBER
OK
Enumeration date
08/29/2011
Last updated
08/29/2011
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