1918 Winter Street Operating Co LLC

NPI #1396516043 in Fountain Hills, Arizona

Provider Information

NPI Number
1396516043
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
13733 N FOUNTAIN HILLS BLVD
State
Arizona
ZIP Code
85268-3730
Phone
(480) 837-1690

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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