Organization
LONGS DRUG STORES CALIFORNIA INC
Active
Other names
Longs Pharmacy 300
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
925 CALIFORNIA AVE, WAHIAWA, HI 96786-2123
(808) 621-7772
(808) 621-1485
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
(925) 210-6659
(925) 210-6606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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