Longs Drug Stores California LLC

NPI #1972749414 in Makawao, Hawaii

Provider Information

NPI Number: 1972749414
Entity Type: Organization
Organization Name: Longs Drug Stores California LLC
Primary Specialty: Pharmacy
Enumeration Date: Jan 6, 2009
Last Updated: Jul 29, 2021

Practice Location

Address: 55 KIOPAA PL
City: Makawao
State: Hawaii
ZIP Code: 96768-8282
Phone: (808) 573-9304

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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