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)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