Longs Drug Stores California LLC
Pharmacy in Redwood City, CA. Organization (NPI-2).
NPI number1467494286
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1467494286
- Entity type
- Organization (NPI-2)
- Legal business name
- Longs Drug Stores California LLC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2006
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY49324 | CA |
Other names
- Cvs Pharmacy #09690 (Doing Business As)
Practice location
2111 Bay RdRedwood City, CA 94063-3031
Phone 650-364-2111 · Fax 401-735-1080
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 401-735-1080
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017651500
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