NPI 1104342435 · live from the CMS NPI Registry
Longs Drug Stores California L.L.C.
Pharmacy in Honolulu, HI. National Provider Identifier 1104342435, active.
NPI record
| NPI | 1104342435 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1450 Ala Moana Blvd Ste 2401, Honolulu, HI 96814 |
| Practice phone | 808-956-1331 |
| Mailing address | One Cvs Dr., Box 1075, Woonsocket, RI 02895 |
| Enumerated | August 18, 2017 |
| Last updated | October 10, 2017 |
| Authorized official | Susan Colbert, Sr. Director Payer Relations |
| Other names | Longs Drugs #17720 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.