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NPI 1174371876

OrganizationActive

1918 Winter Street Operating Co LLC

NPI 1174371876 · Community/Retail Pharmacy · Jackson, WY

Provider details

NPI number: 1174371876
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Kevin Mcnamara, Authorized Person

Practice location

105 Buffalo Way

Jackson, WY 83001-4806

Phone: (307) 733-9223

Fax: (307) 734-4481

More WY providers

Mailing address

7 Corporate Dr

Keene, NH 03431-5042

Registry dates

Enumerated: 2024-05-08
Last updated: 2024-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1918 Winter Street Operating Co LLC — NPI 1174371876, Jackson, WY | NPI Central