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
3670 BEL AIRE PLZ, NAPA, CA 94558-2831
(707) 224-6571
(707) 255-0326
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 39459
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0574144
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA 394590
—
CA
05
—
PHA394590
—
CA
Enumeration date
06/14/2006
Last updated
09/11/2025
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