Organization
LONGS DRUG STORES CALIFORNIA L.L.C.
Active
Other names
Longs Drugs #17720
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1450 ALA MOANA BLVD STE 2401, HONOLULU, HI 96814-4604
(808) 956-1331
Mailing address
ONE CVS DR., BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1242104
NCPDP
—
Enumeration date
08/18/2017
Last updated
10/10/2017
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