Organization

Longs Drug Stores California Llc

May also be knows as Longs Pharmacy #10848

Pharmacy in Kahului, HI(View on Map)

Legal Business Name

Longs Drug Stores California Llc

Also Known As

Longs Pharmacy #10848

NPI Number

1376934026

NPI Type

Organization

Enumeration Date

02/16/2015

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Hawaii

License Number

PHY-881

Contact
Information

Purpose

Mailing
Location

Address

1 CVS DR
275 W KAAHUMANU AVE # 1C01A

City

Woonsocket
Kahului

State

RI
HI

Postal Code

02895-6146
96732-1629

Country

US
US

Telephone Number

(401) 765-1500
(808) 871-6268

Authorized Official

Name

Susan Colbert

Title or Position

DIRECTOR PAYER RELATIONS

Telephone Number

(401) 770-2751

Identifiers

Identifier

784175
1241695

Identifier State

HI
Unknown

Identifier Issuer

Unknown
NCPDP

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

Data last updated by provider on 02/15/2017

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