National Provider Identifier Database

LONGS DRUG STORES CALIFORNIA LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

LONGS DRUG STORES CALIFORNIA LLC
200 EHIGHWAY 12
BLDG D
VALLEY SPRINGS, CA95252
Phone: 209-772-9681
Fax: 209-772-0455
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for LONGS DRUG STORES CALIFORNIA LLC

NPI Number 1922041250
Legal business name
LBN
LONGS DRUG STORES CALIFORNIA LLC
Authorized official SUSAN COLBERT - (DIRECTOR/PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 06/14/2006
Last updated 03/07/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY49475
  • CA Medicaid: 1922041250
  • Other: 0519782 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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