Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Chicago, IL

NPI number1033967633
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1033967633
Entity type
Organization (NPI-2)
Legal business name
1918 Winter Street Operating Co LLC
Organization subpart
No
Enumeration date
May 8, 2024
Certification date
May 1, 2024
Last updated
Jul 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Mariano'S Pharmacy #0539 (Doing Business As)

Practice location

3857 S Dr Martin L King Jr Dr
Chicago, IL 60653-1708

Phone 773-268-2862 · Fax 773-268-2905

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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