Longs Drug Stores California LLC
NPI #1699719039 in Santa Rosa, California
Provider Information
- NPI Number
- 1699719039
- Entity Type
- Organization
- Organization Name
- Longs Drug Stores California LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Aug 23, 2011
Practice Location
- Address
- 2075 MENDOCINO AVE
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95401-3667
- Phone
- (707) 542-4182
Authorized Official
- Name
- SUSAN COLBERT
- Title
- DIRECTOR/PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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