NPI 1104214543 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Kailua, HI. National Provider Identifier 1104214543, active.
NPI record
| NPI | 1104214543 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 345 Hahani St, Kailua, HI 96734 |
| Practice phone | 808-489-9320 |
| Mailing address | 1 Cvs Dr, Box 1075, Woonsocket, RI 02895 |
| Enumerated | January 8, 2015 |
| Last updated | August 29, 2016 |
| Authorized official | Susan Colbert, Sr. Director, Payer Relations |
| Other names | Longs Drugs #17601 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHY-899 (HI) |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.