Organization

Longs Drug Stores California Inc

May also be knows as Longs Drug Store

Legal Business Name

Longs Drug Stores California Inc

Also Known As

Longs Drug Store

NPI Number

1003859364

NPI Type

Organization

Enumeration Date

06/14/2006

Specialties

(Taxonomies)

Code

3336C0003X
333600000X

Primary Taxonomy

No
No

Licenses

State

Washington

License Number

CF56105

Contact
Information

Purpose

Mailing
Location

Address

141 N CIVIC DR
5401 6TH AVE

City

Walnut Creek
Tacoma

State

CA
WA

Postal Code

94596-3815
98406-2645

Country

US
US

Telephone Number

N/A
(253) 752-1484

Authorized Official

Name

Amy Halliday

Title or Position

MANAGED CARE ADMINISTRATOR

Telephone Number

(925) 210-6659

Identifiers

Identifier

4926119
6020937

Identifier State

Unknown
WA

Identifier Issuer

OTHER ID NUMBER-COMMERCIAL NUMBER
Unknown

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

Data last updated by provider on 08/22/2020

Provider Address