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NPI 1942071741

OrganizationActive

1918 Winter Street Operating Co LLC

NPI 1942071741 · Community/Retail Pharmacy · Canon City, CO

Provider details

NPI number: 1942071741
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

Practice location

1414 Main St

Canon City, CO 81212-3906

Phone: (719) 275-7511

Fax: (719) 275-7161

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

7 Corporate Dr

Keene, NH 03431-5042

Other names (DBA / former)

Doing business as: Safeway Pharmacy #3728

Registry dates

Enumerated: 2024-01-10
Last updated: 2024-07-24
Certified: 2024-01-08

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 1942071741, Canon City, CO | NPI Central