NPI 1336910058
1918 Winter Street Operating Co LLC
Practice location
- Address
- 4300 Ridgecrest Dr SE, Rio Rancho, NM 87124-5907
- Phone
- (505) 892-2262
- Fax
- (505) 892-1163
- Mailing address
- 7 Corporate Dr, Keene, NH 03431-5042
Authorised official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1336910058
- Entity type
- Organization
- NPI issued
- 11 Jan 2024
- Record last updated
- 24 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.