| NPI | 1154364487 |
|---|---|
| Doing Business As | LONGS DRUG STORE #09821 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49710) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-12-16 |