Organization
LONGS DRUG STORES CALIFORNIA, INC.
Active
Other names
Longs Drug Store #385
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HALLIDAY (MANAGED CARE ADMINISTRATOR)
(925) 210-6659
Entity
Organization
Contact information
Practice address
86-120 FARRINGTON HWY, WAIANAE, HI 96792-3000
(808) 696-7059
(808) 696-0793
Mailing address
FILE 73241, P.O. BOX 60000, SAN FRANCISCO, CA 94160-0001
(925) 210-6659
(925) 210-6606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
562050
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0826301
—
HI
01
—
1203354
OTHER ID
HI
Enumeration date
07/20/2007
Last updated
03/14/2008
Update your record
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