Longs Drug Stores California LLC

NPI #1861557993 in Venice, California

Provider Information

NPI Number
1861557993
Entity Type
Organization
Organization Name
Longs Drug Stores California LLC
Primary Specialty
Pharmacy
Enumeration Date
Dec 27, 2006
Last Updated
Feb 14, 2011

Practice Location

Address
255 MAIN ST
City
Venice
ZIP Code
90291-5217
Phone
(310) 399-2436

Authorized Official

Name
SUSAN COLBERT
Title
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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