1918 Winter Street Operating Co LLC
NPI #1093563793 in Western Springs, Illinois
Provider Information
- NPI Number
- 1093563793
- 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 24, 2024
Practice Location
- Address
- 4700 GILBERT AVE STE 14
- City
- Western Springs
- State
- Illinois
- ZIP Code
- 60558-1679
- Phone
- (708) 246-7530
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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