Whalio Doctors

NPI 1053182923

1918 Winter Street Operating Co LLC

Organisation Community/Retail Pharmacy Enumclaw, WA

Practice location

Address
1009 Monroe Ave, Enumclaw, WA 98022-2993
Phone
(360) 825-9360
Fax
(360) 825-9424
Mailing address
7 Corporate Dr, Keene, NH 03431-5042

Authorised official

Name
Kevin McNamara
Title
Authorized Person
Phone
(603) 354-4619

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1053182923
Entity type
Organization
NPI issued
10 Jan 2024
Record last updated
24 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.