| NPI | 1336399070 |
|---|---|
| Doing Business As | LONGS DRUG STORE #767 |
| Entity Type | Organization |
| Authorized Contact | AMY M HALLIDAY Managed Care Administrator 925-210-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |