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Contact Information

LONGS DRUG STORE #733/NETWORK PHARMACY
12276 HESPERIA RD
VICTORVILLE, CA92392
 Phone: 760-962-8007
 Fax: 760-962-8011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LONGS DRUG STORE #733/NETWORK PHARMACY

NPI # 1023027620
LBN Legal business name LONGS DRUG STORE #733/NETWORK PHARMACY
Authorized official LISA CUETO - (MANAGED CARE OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # PHY47581
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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