Basic Information
| Provider Information | |||||||||
| NPI: | 1093430142 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WINTER | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | AMBER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH, PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27B PARSONS VLY | ||||||||
| Address2: | |||||||||
| City: | CONROE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773031500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8145055927 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 910 W DAVIS ST | ||||||||
| Address2: | |||||||||
| City: | CONROE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773012709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9365391849 | ||||||||
| FaxNumber: | 9365396589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2022 | ||||||||
| LastUpdateDate: | 10/17/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | RP454439 | PA | N | Pharmacy Service Providers | Pharmacist | 183500000X | 68164 | TX | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.