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Longs Drug Stores California, INC.

Durable Medical Equipment & Medical Supplies in Waianae, HI. Organization (NPI-2).

NPI number1982804688
StatusActive
Last updated in NPPESMar 14, 2008

Details

NPI
1982804688
Entity type
Organization (NPI-2)
Legal business name
Longs Drug Stores California, INC.
Organization subpart
No
Enumeration date
Jul 20, 2007
Last updated
Mar 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies562050HIYes

Other names

  • Longs Drug Store #385 (Doing Business As)

Practice location

86-120 Farrington Hwy
Waianae, HI 96792-3000

Phone 808-696-7059 · Fax 808-696-0793

Mailing address

File 73241
P.O. Box 60000
San Francisco, CA 94160-0001

Phone 925-210-6659 · Fax 925-210-6606

Authorized official

Amy M Halliday
Managed Care Administrator
9252106659

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