Organization · Type 2 NPI

1918 Winter Street Operating Co LLC

Community/Retail Pharmacy · Coos Bay, OR

NPI number 1487425401 Active

Practice location

230 Johnson Street
Coos Bay, OR 97420

Call (541) 267-1709 Map

Fax (541) 267-1712

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 …

Another provider at this address

Safeway IncCommunity/Retail Pharmacy Coos Bay, OR NPI 1588693527

Other community/retail pharmacy providers in Coos Bay

See all in Coos Bay →

NPI record

NPI: 1487425401
Entity type: Organization (Type 2)
Issued: Jan 9, 2024
Last updated: Jul 25, 2024
Status: Active

Other names

<unavail>
Safeway Pharmacy #1556 · doing business as
Safeway Pharmacy #1556 · doing business as

Authorized official

Kevin McNamara
Authorized Person
(603) 354-4619

Verify this record

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 1487425401

1918 Winter Street Operating Co LLC's National Provider Identifier is 1487425401, issued on Jan 9, 2024. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Coos Bay, OR. The record was last updated on Jul 25, 2024.