Organization
1918 WINTER STREET OPERATING CO LLC
Active
Other names
SAFEWAY PHARMACY #1078
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCNAMARA (AUTHORIZED PERSON)
(603) 354-4619
Entity
Organization
Contact information
Practice address
2930 OCEAN BEACH HWY, LONGVIEW, WA 98632-3514
(360) 575-6246
(360) 575-6248
Mailing address
7 CORPORATE DR, KEENE, NH 03431-5042
(603) 354-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
07/24/2024
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