Provider Demographics
NPI:1063432334
Name:WINEBRENNER, HOPE HAGAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:HAGAN
Last Name:WINEBRENNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 EASTLAND DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-1967
Mailing Address - Country:US
Mailing Address - Phone:270-692-3111
Mailing Address - Fax:270-692-4211
Practice Address - Street 1:325 W WALNUT ST
Practice Address - Street 2:SUITE 500
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1377
Practice Address - Country:US
Practice Address - Phone:270-692-3111
Practice Address - Fax:270-692-4211
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist