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 |