1918 Winter Street Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Milwaukie, OR
NPI 1750152682 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1750152682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 1918 WINTER STREET OPERATING CO LLC
- Practice address
- 4320 SE King Rd
Milwaukie, OR 97222-5281 - Phone
- (503) 659-1840
- Fax
- (503) 652-1049
- NPI assigned
- Jan 10, 2024
- Organization subpart
- No
Authorized official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- 1918 Winter Street Operating Co LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4320 SE King Rd
Milwaukie, OR 97222-5281
Mailing address
7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000
Other names
- SAFEWAY PHARMACY #2690
Other providers in Milwaukie, OR
- 1918 Winter Street Operating Co LLC
- 64TH Ave LLC
- A. Farid Bolouri DMD, PC
- Aaron Altman Therapy LLC
- ABA of Portland Corp.
All providers in Milwaukie, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.