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1918 Winter Street Operating Co LLC

Organization Active NPI Community/Retail Pharmacy · Prescott, AZ

NPI 1215708136 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1215708136
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
1918 WINTER STREET OPERATING CO LLC
Practice address
450 White Spar Rd
Prescott, AZ 86303-4626
Phone
(928) 778-3098
Fax
(928) 717-0747
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) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
1918 Winter Street Operating Co LLC (496 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

450 White Spar Rd
Prescott, AZ 86303-4626

Mailing address

7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000

Other names

  • SAFEWAY PHARMACY #0274 Doing business as

Other providers in Prescott, AZ

All providers in Prescott, AZ · Community/Retail Pharmacy in Arizona

Sources for this page

Verify at the official NPI Registry.