| NPI | 1427258128 |
|---|---|
| Doing Business As | LONGS DRUG STORE #09988 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA M MAURICIO Manager Pharmacy Enrollments 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI 562050) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-12-29 |