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1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Phoenix, AZ. Organization (NPI-2).

NPI number1134977853
StatusActive
Last updated in NPPESJul 22, 2024

Details

NPI
1134977853
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 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Albertsons Pharmacy #0025 (Doing Business As)

Practice location

21001 N Tatum Blvd Ste 76
Phoenix, AZ 85050-4239

Phone 480-585-1510 · Fax 480-585-1986

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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