1918 Winter Street Operating Co LLC

NPI #1952159568 in Pueblo, Colorado

Provider Information

NPI Number
1952159568
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 24, 2024

Practice Location

Address
1231 S PRAIRIE AVE
City
Pueblo
ZIP Code
81005-2022
Phone
(719) 561-4407

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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