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Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUGS #09813
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
98 1005 MOANALUA RD SPC 400, AIEA, HI 96701
(808) 488-0958
(808) 484-0857
Mailing address
PO BOX 1075, WOONSOCKET, RI 02895-0803
(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
PHY228
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201184
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8267501
—
HI
Enumeration date
06/13/2006
Last updated
11/16/2010
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