Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Dallas, TX

NPI number1699546507
StatusActive
Last updated in NPPESAug 6, 2024

Details

NPI
1699546507
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
Aug 6, 2024

Taxonomy and licenses

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

Other names

  • Tom Thumb Pharmacy #2534 (Doing Business As)

Practice location

6333 E Mockingbird Ln
Dallas, TX 75214-2692

Phone 214-823-9916 · Fax 214-821-7269

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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