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Contact Information

1918 WINTER STREET OPERATING CO LLC
21301 STATE ROUTE 410 E
BONNEY LAKE, WA98391-8468
 Phone: 253-862-2533
 Fax: 253-862-2173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for 1918 WINTER STREET OPERATING CO LLC

NPI # 1265203855
LBN Legal business name 1918 WINTER STREET OPERATING CO LLC
Authorized official KEVIN MCNAMARA - (AUTHORIZED PERSON)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2024
Last updated 08/06/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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