| NPI | 1134381114 |
|---|---|
| Doing Business As | LONGS PHARMACY #92 |
| Entity Type | Organization |
| Authorized Contact | AMY M HALLIDAY Managed Care Administrator 925-210-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |