1918 Winter Street Operating Co LLC
NPI #1598536252 in Eagle River, Alaska
Provider Information
- NPI Number
- 1598536252
- 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 22, 2024
Practice Location
- Address
- 11431 BUSINESS BLVD
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7754
- Phone
- (907) 696-9460
Authorized Official
- Name
- KEVIN MCNAMARA
- Title
- AUTHORIZED PERSON
- Phone
- (603) 354-4619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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