Organization
1918 WINTER STREET OPERATING CO LLC
Active
Other names
MARIANO'S PHARMACY #0514
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCNAMARA (AUTHORIZED PERSON)
(603) 354-4619
Entity
Organization
Contact information
Practice address
1350 EAST ROUTE 22, LAKE ZURICH, IL 60047
(847) 438-4012
(847) 438-4047
Mailing address
7 CORPORATE DR, KEENE, NH 03431-5042
(603) 354-7000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
07/25/2024
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