Most Relevant Information
Provider Data
| NPI Number: | 1003356734 |
| Provider Name: | JACK NORMAN WINCHESTER PHARMBS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 32472 |
Most Important Dates
| Enumeration Date: | 02/28/2017 |
| Last Updated: | 02/28/2017 |
Provider Practice Location
1717 E DATE PL
SAN BERNARDINO
CA
924044428
Practice Location Phone/Fax
| Phone: | 9098814717 |
| Fax: | 9098814725 |
Provider Mailing Location
1717 E DATE PL
SAN BERNARDINO
CA
924044428
Provider Mailing Phone/Fax
| Phone: | 9098814717 |
| Fax: | 9098814725 |