Longs Drug Stores California LLC
Pharmacy in Marina, CA. Organization (NPI-2).
NPI number1477597201
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1477597201
- Entity type
- Organization (NPI-2)
- Legal business name
- Longs Drug Stores California LLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Aug 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY49561 | CA | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #03050 (Doing Business As)
Practice location
268 Reservation RdMarina, CA 93933-3178
Phone 831-384-1605 · Fax 831-384-9662
Mailing address
1 Cvs DrP.O. Box 1072
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 401-770-7108
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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