Organization
LONGS DRUG STORES CALIFORNIA, INC.
Active
Other names
Longs Drug Store #202
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
94-780 MEHEULA PKWY, A, MILILANI, HI 96789-2100
(808) 623-6636
(808) 623-7891
Mailing address
141 N CIVIC DR, WALNUT CREEK, CA 94596-3815
(925) 210-6659
(925) 210-6606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
562050
HI
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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