Longs Drug Stores California LLC

NPI #1154535888 in Reno, Nevada

Provider Information

NPI Number: 1154535888
Entity Type: Organization
Organization Name: Longs Drug Stores California LLC
Primary Specialty: Pharmacy
Enumeration Date: May 10, 2007
Last Updated: Jun 4, 2019

Practice Location

Address: 8005 S VIRGINIA ST
City: Reno
State: Nevada
ZIP Code: 89511-8940
Phone: (775) 853-7555

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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