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Organization

1918 WINTER STREET OPERATING CO LLC

Active
Other names
SAFEWAY PHARMACY #2723
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MCNAMARA (AUTHORIZED PERSON)
(603) 354-4619
Entity
Organization

Contact information

Practice address
1815 4TH ST, TILLAMOOK, OR 97141-2210
(503) 842-5934
(503) 842-6842
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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