Organization
LONGS DRUG STORE #531
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M CUETO (MANAGED CARE OPERATIONS MANAGER)
(925) 210-6660
Entity
Organization
Contact information
Practice address
8441 SE 68TH ST, MERCER ISLAND, WA 98040-5235
(206) 232-3000
(206) 232-1352
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
(925) 210-6660
(925) 210-6222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF56697
WA
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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