Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
CVS Pharmacy #09539
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
41 NORTH MAIN ST, ANGELS CAMP, CA 95222
(209) 736-1840
(209) 736-1877
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
PHY49682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564129
OTHER ID NUMBER
—
05
—
1629011937
—
CA
Enumeration date
06/14/2006
Last updated
12/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us