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NPI 1144078098 · live from the CMS NPI Registry

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Cheyenne, WY. National Provider Identifier 1144078098, active.

NPI record

NPI1144078098 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location3355 E Pershing Blvd, Cheyenne, WY 82001
Practice phone307-635-1155
Mailing address7 Corporate Dr, Keene, NH 03431
EnumeratedMay 7, 2024
Last updatedJuly 24, 2024
Authorized officialKevin Mcnamara, Authorized Person
Other namesOsco Pharmacy #0065

Taxonomies and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X—

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