Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
Longs Drugs #17599
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
391 E MAKAALA ST, HILO, HI 96720-5146
(808) 920-8606
(808) 920-8616
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY-902
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130460
PK
—
Enumeration date
05/31/2011
Last updated
10/25/2016
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