1918 Winter Street Operating Co LLC

NPI #1407604317 in Monument, Colorado

Provider Information

NPI Number
1407604317
Entity Type
Organization
Organization Name
1918 Winter Street Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 7, 2024
Last Updated
Jul 24, 2024

Practice Location

Address
624 W HIGHWAY 105
ZIP Code
80132-9169
Phone
(719) 488-1189

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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