Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
Longs Drug Store #09988
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA M MAURICIO (MANAGER PHARMACY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
91-1401 FORT WEAVER RD, EWA BEACH, HI 96706-2253
(808) 685-5622
(808) 685-5566
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
562050
HI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203885
OTHER ID
HI
05
—
25319701
—
HI
Enumeration date
07/20/2007
Last updated
12/29/2008
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