Organization · NPI-2

Longs Drug Stores California LLC

Pharmacy · Yorba Linda, CA

NPI number1003859356
StatusActive
Last updated in NPPESMar 8, 2012

Details

NPI
1003859356
Entity type
Organization (NPI-2)
Legal business name
Longs Drug Stores California LLC
Organization subpart
No
Enumeration date
Jun 14, 2006
Last updated
Mar 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
3336C0003X Pharmacy, Community/Retail PharmacyPHY49667CA
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Cvs Pharmacy #09905 (Doing Business As)

Practice location

20475 Yorba Linda Blvd
Yorba Linda, CA 92886-3043

Phone 714-693-1055 · Fax 714-693-3147

Mailing address

1 Cvs Dr
P.O. Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500 · Fax 401-770-7108

Authorized official

Susan Colbert
Director Payer Relations
4017702751

Is something wrong?

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