NPI | 1750324505 |
---|---|
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: CA PHY45858) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-06-13 |
Last Update Date | 2020-08-22 |