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 ADMIN)
(925) 210-6659
Entity
Organization
Contact information
Practice address
14300 NE 20TH AVE, STE 201, VANCOUVER, WA 98686-1446
(360) 571-2380
(360) 571-2444
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY46146
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4927907
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6023089
—
WA
05
—
PHA461460
—
WA
Enumeration date
06/14/2006
Last updated
09/11/2025
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