Longs Drug Stores California LLC
NPI #1104860543 in Capitola, California
Provider Information
- NPI Number
- 1104860543
- Entity Type
- Organization
- Organization Name
- Longs Drug Stores California LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Mar 7, 2012
Practice Location
- Address
- 1750 41ST AVE
- City
- Capitola
- State
- California
- ZIP Code
- 95010-2503
- Phone
- (831) 476-0400
Authorized Official
- Name
- SUSAN COLBERT
- Title
- DIRECTOR/PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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