Organization · Type 2 NPI

1918 Winter Street Operating Co LLC

Community/Retail Pharmacy · Prescott Valley, AZ

NPI number 1356112833 Active

Practice location

7720 E Hwy 69
Prescott Valley, AZ 86314

Call (928) 772-7673 Map

Fax (928) 772-6283

Mailing address

7 Corporate Dr
Keene, NH 03431-5042

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Prescott Valley

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NPI record

NPI: 1356112833
Entity type: Organization (Type 2)
Issued: Jan 12, 2024
Last updated: Jul 25, 2024
Status: Active

Other names

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Safeway Pharmacy #1055 · doing business as
Safeway Pharmacy #1055 · doing business as

Authorized official

Kevin McNamara
Authorized Person
(603) 354-4619

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356112833

1918 Winter Street Operating Co LLC's National Provider Identifier is 1356112833, issued on Jan 12, 2024. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Prescott Valley, AZ. The record was last updated on Jul 25, 2024.