Provider Demographics
NPI:1053523266
Name:WINTERS, VIRGINIA JEAN (RPH)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:JEAN
Last Name:WINTERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:JEAN
Other - Last Name:VOIGT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:30973 COUNTY HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:UNDERWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56586-9200
Mailing Address - Country:US
Mailing Address - Phone:218-826-6470
Mailing Address - Fax:
Practice Address - Street 1:30973 COUNTY HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:UNDERWOOD
Practice Address - State:MN
Practice Address - Zip Code:56586-9200
Practice Address - Country:US
Practice Address - Phone:218-826-6470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN113867183500000X
ND4028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist