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Contact Information

LONGS DRUG STORES CALIFORNIA LLC
580 MORAGA RD
MORAGA, CA94556
 Phone: 925-631-0204
 Fax: 925-631-0302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for LONGS DRUG STORES CALIFORNIA LLC

NPI Number 1285677039
LBN Legal business name LONGS DRUG STORES CALIFORNIA LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 03/06/2012 - About 14 years ago
Identifiers
CA License # PHY49528
CA Medicaid 1285677039
Other 0579790 OTHER ID NUMBER
Other 0579790 OTHER ID NUMBER-COMMERCIAL NUMBER
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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