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Individual

ANGELA ANN MCDANIEL WINSKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1421 S. BEGLIS PKWY, SULPHUR, LA 70663-5603
(337) 528-9918
Mailing address
1180 SHAKESPEARE DR, BEAUMONT, TX 77706-4137
(409) 767-0148

Taxonomy

Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
PST.022688
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004436
MEDICATION ADMINISTRATION REGISTRATION LA. BOARD OF PHARMACY
LA
05
2479539
LA
01
40449
TEXAS BOARD OF PHARMACY
TX
01
PST.022688
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
09/20/2018
Last updated
10/08/2018
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