NPI | 1144427238 |
---|---|
Doing Business As | LONGS DRUG STORE #057 |
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 (Licence: HI 562050) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-08-22 |