Organization
LONGS DRUG STORES CALIFORNIA INC
Active
Organization
LONGS DRUG STORES CALIFORNIA INC
Active
Other names
LONGS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
24663 CRENSHAW BLVD, TORRANCE, CA 90505-5347
(310) 784-0395
(310) 784-0063
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY45323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0560575
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA 346060
—
CA
05
—
PHA 453230
—
CA
05
—
PHA453230
—
CA
Enumeration date
06/13/2006
Last updated
01/22/2008
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