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Organization

LONGS DRUG STORES CALIFORNIA LLC

Active
Other names
CVS Pharmacy #09198
Organization subpart
No

Provider details

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

Contact information

Practice address
1675 HOLLENBECK AVE, SUNNYVALE, CA 94087-5402
(408) 735-7922
(408) 735-0531
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
PHY49525
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0576275
OTHER ID NUMBER-COMMERCIAL NUMBER
05
1770527111
CA
Enumeration date
06/16/2006
Last updated
08/23/2011
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