1918 Winter Street Operating Co LLC

NPI #1750152856 in Laveen, Arizona

Provider Information

NPI Number
1750152856
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
5035 W BASELINE RD
City
Laveen
State
Arizona
ZIP Code
85339-7310
Phone
(602) 567-7566

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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