1918 Winter Street Operating Co LLC
Pharmacy, Community/Retail Pharmacy in Shreveport, LA. Organization (NPI-2).
NPI number1184472045
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1184472045
- Entity type
- Organization (NPI-2)
- Legal business name
- 1918 Winter Street Operating Co LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2024
- Certification date
- May 1, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sav-On Pharmacy #0218 (Doing Business As)
Practice location
105 Southfield RdShreveport, LA 71105-3702
Phone 318-861-2431 · Fax 318-861-4445
Mailing address
7 Corporate DrKeene, NH 03431-5042
Phone 603-354-7000
Authorized official
Kevin Mcnamara
Authorized Person
6033544619
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