| NPI | 1629011457 |
|---|---|
| Doing Business As | LONGS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | AMY HALLIDAY Managed Care Administrator 925-210-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY45323) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-01-22 |