Provider Demographics
NPI:1902076334
Name:WINKLER RX CORP.
Entity Type:Organization
Organization Name:WINKLER RX CORP.
Other - Org Name:SCHWENKE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:563-289-5656
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:
Mailing Address - City:LE CLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753-0256
Mailing Address - Country:US
Mailing Address - Phone:563-289-5656
Mailing Address - Fax:563-289-3860
Practice Address - Street 1:126 S CODY RD
Practice Address - Street 2:
Practice Address - City:LE CLAIRE
Practice Address - State:IA
Practice Address - Zip Code:52753-9236
Practice Address - Country:US
Practice Address - Phone:563-289-5656
Practice Address - Fax:563-289-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA606333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1902076334Medicaid
IA1902076334Medicaid