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
17495 SW FARMINGTON RD, ALOHA, OR 97007-3212
(503) 848-7700
(503) 848-7810
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
001451
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166704
—
OR
01
—
3813119
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA459040
—
OR
Enumeration date
06/13/2006
Last updated
09/11/2025
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