OrganizationActive
1918 Winter Street Operating Co LLC
NPI 1356112833 · Community/Retail Pharmacy · Prescott Valley, AZ
Provider details
- NPI number
- 1356112833
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Mcnamara, Authorized Person(603) 354-4619
Specialties & taxonomies
Suppliers
Suppliers
Practice location
7720 E Hwy 69
Prescott Valley, AZ 86314
Phone: (928) 772-7673
Fax: (928) 772-6283
Approximate (ZIP-level) locationGet directions
Mailing address
7 Corporate Dr
Keene, NH 03431-5042
Other names (DBA / former)
- Doing business as
- Safeway Pharmacy #1055
- Doing business as
- Safeway Pharmacy #1055
Registry dates
- Enumerated
- 2024-01-12
- Last updated
- 2024-07-25
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.