NPI 1609210673 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Hauula, HI. National Provider Identifier 1609210673, active.
NPI record
| NPI | 1609210673 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 54-316 Kamehameha Hwy, Hauula, HI 96717 |
| Practice phone | 808-293-9091 |
| Mailing address | 1 Cvs Dr, Box 1075 Pharmacy Enrollments, Woonsocket, RI 02895 |
| Enumerated | April 22, 2013 |
| Last updated | November 12, 2013 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #10153 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy primary | 333600000X | PHY-839 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.