Organization
LONGS DRUG STORES CALIFORNIA INC
Active
Other names
Longs Drug Store #767
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
2464 WINGFIELD HILLS RD, SPARKS, NV 89436
(775) 626-2436
(775) 626-2440
Mailing address
FILE 73241, P.O. BOX 60000, SAN FRANCISCO, CA 94160-0001
(925) 210-6659
(925) 210-6606
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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