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Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
Longs Drugs #04492
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
41 E LIPOA ST, STE # 23A, KIHEI, HI 96753-8148
(808) 879-8499
(808) 874-0800
Mailing address
1 CVS DR, P.O. BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY-749
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239943
OTHER ID NUMBER
—
05
—
593229
—
HI
Enumeration date
03/22/2007
Last updated
11/10/2010
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