1918 Winter Street Operating Co LLC

NPI #1578311221 in Palmer, Alaska

Provider Information

NPI Number
1578311221
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 22, 2024

Practice Location

Address
664 E PALMER WASILLA HWY
City
Palmer
State
Alaska
ZIP Code
99645-6573
Phone
(907) 761-1460

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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