| NPI | 1649213992 |
|---|---|
| Doing Business As | LONGS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | AMY HALLIDAY Managed Care Administrator 925-210-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO PHY 5613) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |