| NPI | 1538103981 |
|---|---|
| Doing Business As | LONGS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | AMY HALLIDAY Managed Care Administrator 925-210-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA PHY46379) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |