Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUGS #09835
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2750 WOODLAWN DR, HONOLULU, HI 96822-1841
(808) 988-2151
(808) 988-9319
Mailing address
1 CVS DR, 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
PHY263
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08285101
—
HI
01
—
1201502
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
11/16/2010
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