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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up