1918 Winter Street Operating Co LLC

NPI #1992553598 in Gladstone, Oregon

Provider Information

NPI Number
1992553598
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
95 82ND DR
State
Oregon
ZIP Code
97027-2522
Phone
(503) 723-2685

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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