Wellformed AI

NPI 1013788728 · live from the CMS NPI Registry

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Palatine, IL. National Provider Identifier 1013788728, active.

NPI record

NPI1013788728 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location545 N Hicks Rd, Palatine, IL 60067
Practice phone847-963-4175
Mailing address7 Corporate Dr, Keene, NH 03431
EnumeratedJanuary 11, 2024
Last updatedJuly 24, 2024
Authorized officialKevin Mcnamara, Authorized Person
Other namesMariano'S Pharmacy #0505

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy primary3336C0003X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.