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NPI 1356112080 · live from the CMS NPI Registry

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Galveston, TX. National Provider Identifier 1356112080, active.

NPI record

NPI1356112080 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location2931 Central City Blvd, Galveston, TX 77551
Practice phone409-740-2488
Mailing address7 Corporate Dr, Keene, NH 03431
EnumeratedJanuary 11, 2024
Last updatedJuly 24, 2024
Authorized officialKevin Mcnamara, Authorized Person
Other namesRandalls Pharmacy #1031

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.