# LONGS DRUG STORES CALIFORNIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LONGS DRUGS \#09813
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700828522
- **Authorized official:** SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 98 1005 MOANALUA RD SPC 400, AIEA, HI 96701
- **Practice address phone:** (808) 488-0958
- **Practice address fax:** (808) 484-0857
- **Mailing address:** PO BOX 1075, WOONSOCKET, RI 02895-0803
- **Mailing address phone:** (401) 765-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY228 | HI | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 11/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1201184 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 8267501 | — | HI |