1918 Winter Street Operating Co LLC
NPI #1083462709 in Lake Zurich, Illinois
Provider Information
- NPI Number
- 1083462709
- Entity Type
- Organization
- Organization Name
- 1918 Winter Street Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 8, 2024
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 1350 EAST ROUTE 22
- City
- Lake Zurich
- State
- Illinois
- ZIP Code
- 60047
- Phone
- (847) 438-4012
Authorized Official
- Name
- KEVIN MCNAMARA
- Title
- AUTHORIZED PERSON
- Phone
- (603) 354-4619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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