NPI 1356112833
1918 Winter Street Operating Co LLC
Practice location
- Address
- 7720 E Hwy 69, Prescott Valley, AZ 86314
- Phone
- (928) 772-7673
- Fax
- (928) 772-6283
- Mailing address
- 7 Corporate Dr, Keene, NH 03431-5042
Authorised official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1356112833
- Entity type
- Organization
- NPI issued
- 12 Jan 2024
- Record last updated
- 25 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.