1918 Winter Street Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Bloomingdale, IL
NPI 1104674985 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1104674985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 1918 WINTER STREET OPERATING CO LLC
- Practice address
- 144 S Gary Ave
Bloomingdale, IL 60108-2225 - Phone
- (630) 671-9138
- Fax
- (630) 671-9235
- NPI assigned
- May 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- 1918 Winter Street Operating Co LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
144 S Gary Ave
Bloomingdale, IL 60108-2225
Mailing address
7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000
Other names
- MARIANO'S PHARMACY #0540
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All providers in Bloomingdale, IL · Community/Retail Pharmacy in Illinois
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.