Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
CVS Pharmacy #09128
Organization subpart
No
Provider details
NPI number
Authorized official
SUASN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2314 SANTA CLARA AVE, ALAMEDA, CA 94501-4522
(510) 523-4929
(510) 523-3430
Mailing address
ONE CVS DRIVE BOX 1075, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY49307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504666
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1306880745
—
CA
Enumeration date
06/16/2006
Last updated
03/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us