Whalio Doctors

NPI 1336910058

1918 Winter Street Operating Co LLC

Organisation Community/Retail Pharmacy Rio Rancho, NM

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
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

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.