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Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
Longs Drugs #06870
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
16-529 KEAAU-PAHOA ROAD, KEAAU, HI 96749-8156
(805) 982-8600
(808) 982-8619
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
PHY751
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239981
NCPDP
HI
05
—
59485501
—
HI
Enumeration date
05/17/2007
Last updated
10/29/2018
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