Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
LONGS DRUGS #09653
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1620 N SCHOOL ST, HONOLULU, HI 96817-1844
(808) 841-0724
(808) 842-0276
Mailing address
ONE CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895
(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
PHY177
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08284001
—
HI
01
—
1200411
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
11/16/2010
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