Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Los Angeles, CA

NPI number1689422370

StatusActive

Last updated in NPPESJul 24, 2024

Details

NPI: 1689422370
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 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

Vons Pharmacy #2261 (Doing Business As)

Practice location

3461 W 3rd St
Los Angeles, CA 90020-1604

Phone 213-382-5971 · Fax 213-384-5560

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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