| NPI | 1912097957 |
|---|---|
| Doing Business As | LONGS DRUG STORE NETWORK PHARMACY |
| 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 PHY47581) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |