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1918 Winter Street Operating Co LLC — NPI 1417705195, Fort Mohave, AZ | NPI Central

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NPI 1417705195

OrganizationActive

1918 Winter Street Operating Co LLC

NPI 1417705195 · Community/Retail Pharmacy · Fort Mohave, AZ

Provider details

NPI number: 1417705195
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Kevin Mcnamara, Authorized Person(603) 354-4619

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

4823 S Highway 95

Fort Mohave, AZ 86426-8314

Phone: (928) 704-4443

Fax: (928) 704-1684

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

7 Corporate Dr

Keene, NH 03431-5042

Other names (DBA / former)

Doing business as: Safeway Pharmacy #1474

Registry dates

Enumerated: 2024-05-08
Last updated: 2024-07-24
Certified: 2024-05-01

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