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Organization

LONGS DRUG STORES CALIFORNIA INC

Active
Other names
LONGS DRUG STORE
Organization subpart
No

Provider details

NPI number
Authorized official
AMY HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization

Contact information

Practice address
3307 EVERGREEN WAY STE 4, WASHOUGAL, WA 98671-2063
(360) 335-9255
(360) 335-1355
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF 56633
WA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4927971
OTHER ID NUMBER-COMMERCIAL NUMBER
05
6023451
WA
05
PHA462550
WA
Enumeration date
06/14/2006
Last updated
09/11/2025
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