Organization
LONGS DRUG STORES CALIFORNIA, INC.
Active
Other names
Longs Drug Store #249
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
75-5595 PALANI RD, KAILUA KONA, HI 96740-1663
(808) 329-1632
(808) 326-2168
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
(925) 210-6659
(925) 210-6606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
562050
HI
Other
Enumeration date
07/19/2007
Last updated
08/22/2020
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