# 1918 WINTER STREET OPERATING CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARIANO'S PHARMACY \#0539
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033967633
- **Authorized official:** KEVIN MCNAMARA (AUTHORIZED PERSON)
- **Authorized official phone:** (603) 354-4619

## Contact information

- **Practice address:** 3857 S DR MARTIN L KING JR DR, CHICAGO, IL 60653-1708
- **Practice address phone:** (773) 268-2862
- **Practice address fax:** (773) 268-2905
- **Mailing address:** 7 CORPORATE DR, KEENE, NH 03431-5042
- **Mailing address phone:** (603) 354-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2024
- **Last updated:** 07/24/2024