| NPI | 1518900380 |
|---|---|
| Doing Business As | LONGS DRUG STORE #01298 |
| Entity Type | Organization |
| Authorized Contact | CRISTIANA MAURICIO Managed Care Administrator 401-770-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH01533) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-12-16 |