Organization
LONGS DRUG STORES CALIFORNIA, L.L.C.
Active
Other names
LONGS DRUGS #09671
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
46 047 KAMEHAMEHA HWY, KANEOHE, HI 96744
(808) 235-4551
(808) 236-4626
Mailing address
1 CVS DR # 1075, 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
PHY196
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08274101
—
HI
01
—
1201057
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
03/02/2011
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