Organization · Type 2 NPI

1918 Winter Street Operating Co LLC

Community/Retail Pharmacy · Bonney Lake, WA

NPI number 1265203855 Active

Practice location

21301 State Route 410 E
Bonney Lake, WA 98391-8468

Call (253) 862-2533 Map

Fax (253) 862-2173

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

Other community/retail pharmacy providers in Bonney Lake

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NPI record

NPI: 1265203855
Entity type: Organization (Type 2)
Issued: Jan 11, 2024
Last updated: Aug 6, 2024
Status: Active

Other names

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Safeway Pharmacy #0544 · doing business as
Safeway Pharmacy #0544 · doing business as

Authorized official

Kevin McNamara
Authorized Person
(603) 354-4619

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265203855

1918 Winter Street Operating Co LLC's National Provider Identifier is 1265203855, issued on Jan 11, 2024. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bonney Lake, WA. The record was last updated on Aug 6, 2024.