Longs Drug Stores California LLC

NPI #1720021066 in Tahoe City, California

Provider Information

NPI Number
1720021066
Entity Type
Organization
Organization Name
Longs Drug Stores California LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 14, 2006
Last Updated
Oct 28, 2015

Practice Location

Address
950 N LAKE BLVD
Address 2
SUITE 100
ZIP Code
96145-7110
Phone
(530) 584-0250

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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