Organization

Longs Drug Stores California Llc

May also be knows as Longs Drug Store #09988

Durable Medical Equipment & Medical Supplies in Ewa Beach, HI(View on Map)

Legal Business Name

Longs Drug Stores California Llc

Also Known As

Longs Drug Store #09988

NPI Number

1427258128

NPI Type

Organization

Enumeration Date

07/20/2007

Specialties

(Taxonomies)

Code

332B00000X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Hawaii

License Number

562050

Contact
Information

Purpose

Mailing
Location

Address

1 CVS DR
91-1401 FORT WEAVER RD

City

Woonsocket
Ewa Beach

State

RI
HI

Postal Code

02895-6146
96706-2253

Country

US
US

Telephone Number

(401) 765-1500
(808) 685-5622

Authorized Official

Name

Cristiana Mauricio

Title or Position

MANAGER PHARMACY ENROLLMENTS

Telephone Number

(401) 770-2937

Identifiers

Identifier

25319701
1203885

Identifier State

HI
HI

Identifier Issuer

Unknown
OTHER ID

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/29/2008

Provider Address

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