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Organization

LONGS DRUG STORES CALIFORNIA LLC

Active
Other names
LONGS DRUGS #09275
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
850 KAMEHAMEHA HWY, SUITE 107, PEARL CITY, HI 96782-2682
(808) 455-4555
(808) 456-9304
Mailing address
ONE CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895
(401) 765-1500

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY 719

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08276301
HI
01
1200889
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/13/2006
Last updated
04/14/2011
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