Organization · NPI-2
1918 Winter Street Operating Co LLC
Pharmacy, Community/Retail Pharmacy · Eagle River, AK
NPI number1598536252
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1598536252
- Entity type
- Organization (NPI-2)
- Legal business name
- 1918 Winter Street Operating Co LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2024
- Certification date
- Jan 9, 2024
- Last updated
- Jul 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Carrs Pharmacy #1807 (Doing Business As)
Practice location
11431 Business BlvdEagle River, AK 99577-7754
Phone 907-696-9460 · Fax 907-696-9419
Mailing address
7 Corporate DrKeene, NH 03431-5042
Phone 603-354-7000
Authorized official
Kevin Mcnamara
Authorized Person
6033544619
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