Organization
LONGS DRUG STORES CALIFORNIA, LLC
Active
Other names
CVS Pharmacy #09846
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6800 N MILBURN AVE, FRESNO, CA 93722
(559) 451-3486
(559) 261-9975
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
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY49427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477732014
—
CA
01
—
5628613
NCPDP
CA
Enumeration date
10/31/2007
Last updated
08/24/2011
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