Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUG STORE #01298
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGED CARE ADMINISTRATOR)
(401) 770-2937
Entity
Organization
Contact information
Practice address
9385 W FLAMINGO RD, LAS VEGAS, NV 89147-6425
(702) 944-0885
(702) 944-0890
Mailing address
1 CVS DR, P.O. 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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH01533
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2802922
—
NV
01
—
2979726
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
12/16/2008
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