Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Tempe, AZ

NPI number1477324291
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1477324291
Entity type
Organization (NPI-2)
Legal business name
1918 Winter Street Operating Co LLC
Organization subpart
No
Enumeration date
Jan 10, 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––

Other names

  • Safeway Pharmacy #1535 (Doing Business As)

Practice location

1515 E Elliot Rd
Tempe, AZ 85284-1637

Phone 480-755-1944 · Fax 480-777-9621

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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