Longs Drug Stores California LLC

NPI #1609819499 in Reno, Nevada

Provider Information

NPI Number: 1609819499
Entity Type: Organization
Organization Name: Longs Drug Stores California LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 13, 2006
Last Updated: Jun 4, 2019

Practice Location

Address: 170 LEMMON DR
City: Reno
State: Nevada
ZIP Code: 89506-8799
Phone: (775) 677-4884

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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