NPI 1205203544 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Honolulu, HI. National Provider Identifier 1205203544, active.
NPI record
| NPI | 1205203544 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 5156 Kalanianaole Hwy, Honolulu, HI 96821 |
| Practice phone | 808-377-9643 |
| Mailing address | 1 Cvs Dr, Box 1075, Woonsocket, RI 02895 |
| Enumerated | August 21, 2015 |
| Last updated | April 20, 2016 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #10620 |
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.