Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
Longs Drugs #17472
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
74-5455 MAKALA BLVD, KAILUA KONA, HI 96740-2727
(808) 329-7905
(808) 334-4021
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY-898
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120068
PK
—
Enumeration date
05/19/2009
Last updated
02/01/2021
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