Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Galveston, TX

NPI number1356112080
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1356112080
Entity type
Organization (NPI-2)
Legal business name
1918 Winter Street Operating Co LLC
Organization subpart
No
Enumeration date
Jan 11, 2024
Certification date
Jan 9, 2024
Last updated
Jul 24, 2024

Taxonomy and licenses

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

Other names

  • Randalls Pharmacy #1031 (Doing Business As)

Practice location

2931 Central City Blvd
Galveston, TX 77551-1129

Phone 409-740-2488 · Fax 409-740-8320

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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