Organization
LONGS DRUG STORES CALIFORNIA INC
Active
Other names
LONGS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
1209 S 320TH ST, FEDERAL WAY, WA 98003-5339
(253) 946-1222
(253) 945-7138
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF 56349
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4926981
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6022396
—
WA
Enumeration date
06/14/2006
Last updated
09/11/2025
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