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1918 Winter Street Operating Co LLC

Organization Active NPI Community/Retail Pharmacy · Prescott Valley, AZ

NPI 1356112833 · NPPES record last updated Jul 25, 2024

Key facts

NPI
1356112833
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
1918 WINTER STREET OPERATING CO LLC
Practice address
7720 E Hwy 69
Prescott Valley, AZ 86314
Phone
(928) 772-7673
Fax
(928) 772-6283
NPI assigned
Jan 12, 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.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

7720 E Hwy 69
Prescott Valley, AZ 86314

Mailing address

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

Other names

  • SAFEWAY PHARMACY #1055 Doing business as

Other providers in Prescott Valley, AZ

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

Sources for this page

Verify at the official NPI Registry.