Longs Drug Stores California LLC
NPI #1164465928 in Manteca, California
Provider Information
- NPI Number
- 1164465928
- Entity Type
- Organization
- Organization Name
- Longs Drug Stores California LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Mar 8, 2012
Practice Location
- Address
- 1190 N MAIN ST
- City
- Manteca
- State
- California
- ZIP Code
- 95336-3208
- Phone
- (209) 239-2018
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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