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Organization

LONGS DRUG STORES CALIFORNIA LLC

Active
Other names
LONGS DRUGS #09189
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
3-2600 KAUMUALII HWY STE 1100, LIHUE, HI 96766-1697
(808) 245-8871
(808) 245-1681
Mailing address
1 CVS DR, P.O. BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY729

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08275201
HI
01
1201730
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/13/2006
Last updated
11/10/2010
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