Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
Longs Drugs #07669
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4469 WAIALO RD, ELEELE, HI 96705
(808) 335-0700
(808) 335-0755
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY-752
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240009
NCPDP
HI
05
—
598790 01
—
HI
Enumeration date
07/25/2007
Last updated
08/26/2011
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