Longs Drug Stores California LLC

NPI #1255373080 in Fresno, California

Provider Information

NPI Number: 1255373080
Entity Type: Organization
Organization Name: Longs Drug Stores California LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 13, 2006
Last Updated: Mar 5, 2012

Practice Location

Address: 3011 E SHIELDS AVE
City: Fresno
State: California
ZIP Code: 93726-6752
Phone: (559) 224-2965

Authorized Official

Name: SUSAN F COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-5822

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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