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Organization

LONGS DRUG STORES CALIFORNIA LLC

Active
Other names
CVS Pharmacy #09188
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
869 NEWVILLE RD, ORLAND, CA 95963-1108
(530) 865-4775
(530) 865-1491
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
Primary
3336C0003X
Community/Retail Pharmacy
PHY49522
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081656
NCPDP
CA
05
1548379456
CA
Enumeration date
08/30/2006
Last updated
08/23/2011
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