Organization
LONGS DRUG STORES CALIFORNIA ,L.L.C.
Active
Other names
LONGS DRUGS #09952
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
645 ALEKA LOOP, KAPAA, HI 96746-2099
(808) 822-4918
(808) 821-0291
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, 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-740
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203304
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8258701
—
HI
Enumeration date
06/13/2006
Last updated
04/24/2015
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