Organization · NPI-2

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy · Las Vegas, NV

NPI number1902654874
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1902654874
Entity type
Organization (NPI-2)
Legal business name
1918 Winter Street Operating Co LLC
Organization subpart
No
Enumeration date
May 7, 2024
Certification date
May 1, 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

  • Sav-On Pharmacy #3489 (Doing Business As)

Practice location

6730 N Hualapai Way
Las Vegas, NV 89149-1358

Phone 208-395-6200

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Phone 603-354-7000

Authorized official

Kevin Mcnamara
Authorized Person
6033544619

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