Organization
1918 WINTER STREET OPERATING CO LLC
Active
Other names
PAVILIONS PHARMACY #2233
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCNAMARA (AUTHORIZED PERSON)
(603) 354-4619
Entity
Organization
Contact information
Practice address
7 PENINSULA CTR, ROLLING HILLS ESTATES, CA 90274-3506
(310) 541-1915
(310) 265-8374
Mailing address
7 CORPORATE DR, KEENE, NH 03431-5042
(603) 354-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
07/24/2024
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