Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Bullhead City, AZ

NPI number1205607371
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1205607371
Entity type
Organization (NPI-2)
Legal business name
1918 Winter Street Operating Co LLC
Organization subpart
No
Enumeration date
Jan 9, 2024
Certification date
Jan 8, 2024
Last updated
Jul 24, 2024

Taxonomy and licenses

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

Other names

  • Safeway Pharmacy #0248 (Doing Business As)

Practice location

1751 Hway 95
Bullhead City, AZ 86442-6902

Phone 928-763-1888 · Fax 928-763-5186

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

Is something wrong?

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