Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Chicago, IL

NPI number1093586596
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1093586596
Entity type
Organization (NPI-2)
Legal business name
1918 Winter Street Operating Co LLC
Organization subpart
No
Enumeration date
Jan 12, 2024
Certification date
Jan 9, 2024
Last updated
Jul 24, 2024

Taxonomy and licenses

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

Other names

  • Mariano'S Pharmacy #0534 (Doing Business As)

Practice location

1500 N Clybourn Ave Unit C104
Chicago, IL 60610-2295

Phone 312-475-9691 · Fax 312-475-9688

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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