Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUGS #09954
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2470 S KING ST, HONOLULU, HI 96826-3013
(808) 947-2651
(808) 942-4144
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
PHY535
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203316
OTHER ID NUMBER
—
05
—
82535901
—
HI
Enumeration date
06/14/2006
Last updated
08/22/2011
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