Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUGS #09206
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1450 ALA MOANA BLVD, SUITE 2004, HONOLULU, HI 96814-4604
(808) 949-4010
(808) 941-2396
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY717
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201071
OTHER ID NUMBER
—
05
—
8280701
—
HI
Enumeration date
06/14/2006
Last updated
11/16/2010
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