# 1918 WINTER STREET OPERATING CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAFEWAY PHARMACY \#1665
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558132621
- **Authorized official:** KEVIN MCNAMARA (AUTHORIZED PERSON)
- **Authorized official phone:** (603) 354-4619

## Contact information

- **Practice address:** 1705 S HIGHWAY 97, REDMOND, OR 97756-9647
- **Practice address phone:** (541) 504-4166
- **Practice address fax:** (541) 504-4168
- **Mailing address:** 7 CORPORATE DR, KEENE, NH 03431-5042
- **Mailing address phone:** (603) 354-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2024
- **Last updated:** 07/24/2024