1918 Winter Street Operating Co LLC

NPI #1578334645 in Keller, Texas

Provider Information

NPI Number
1578334645
Entity Type
Organization
Organization Name
1918 Winter Street Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 9, 2024
Last Updated
Jul 24, 2024

Practice Location

Address
1000 KELLER PKWY
City
Keller
State
Texas
ZIP Code
76248-3611
Phone
(817) 337-8040

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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