Organization
LONGS DRUG STORES CALIFORNIA INC
Active
Other names
LONGS DRUG STORE NETWORK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
18182 HWY 18 STE 107, APPLE VALLEY, CA 92307
(760) 242-3998
(760) 242-2926
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5622166
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA475800
—
CA
Enumeration date
10/13/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us