NPI | 1023338720 |
---|---|
Doing Business As | LONGS DRUGS #04728 |
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: PHY-784) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-10-15 |