Organization
LONGS DRUG STORES CALIFORNIA, L.L.C.
Active
Other names
LONGS DRUGS #04728
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1130 KUALA ST, PEARL CITY, HI 96782-2959
(808) 456-5302
Mailing address
BOX 1075, ONE CVS DRIVE PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY-784
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240477
NCPDP - OTHER COMMERCIAL IDENTIFIER
—
05
—
64690301
—
HI
Enumeration date
06/03/2010
Last updated
10/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us