| NPI | 1083657878 |
|---|---|
| Doing Business As | LONGS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | AMY HALLIDAY Managed Care Administrator 925-210-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OR 001252) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2025-09-11 |