Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUGS #09953
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
45 480 KANEOHE BAY DR, KANEOHE, HI 96744
(808) 235-5805
(808) 235-6029
Mailing address
1 CVS DR, BOX 1075 PHARMACY ENROLLMENTS, 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
PHY534
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08257601
—
HI
01
—
1203330
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6023311
—
HI
Enumeration date
06/14/2006
Last updated
02/10/2015
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