Organization
LONGS DRUG STORES CALIFORNIA LLC
Active
Other names
CVS PHARMACY #09233
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR/PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
515 S STATE HIGHWAY 49, JACKSON, CA 95642-2534
(209) 223-2471
(209) 223-1811
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
PHY49510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0588167
OTHER ID NUMBER
—
05
—
1821030644
—
CA
Enumeration date
06/13/2006
Last updated
03/06/2012
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