1918 Winter Street Operating Co LLC

NPI #1285405860 in Mansfield, Texas

Provider Information

NPI Number
1285405860
Entity Type
Organization
Organization Name
1918 Winter Street Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 11, 2024
Last Updated
Jul 24, 2024

Practice Location

Address
3145 E BROAD ST
State
Texas
ZIP Code
76063-5602
Phone
(817) 453-6015

Authorized Official

Name
KEVIN MCNAMARA
Title
AUTHORIZED PERSON
Phone
(603) 354-4619

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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