Provider Demographics
NPI:1386921153
Name:WINKLER-MULL, WENDY (PHARM D)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:WINKLER-MULL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3265 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:LA
Mailing Address - Zip Code:71068-2809
Mailing Address - Country:US
Mailing Address - Phone:318-894-0220
Mailing Address - Fax:
Practice Address - Street 1:3265 MILITARY RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:LA
Practice Address - Zip Code:71068-2809
Practice Address - Country:US
Practice Address - Phone:318-894-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist