NPI 1770525503 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy, Community/Retail Pharmacy in Ewa Beach, HI. National Provider Identifier 1770525503, active.
NPI record
| NPI | 1770525503 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 91-1401 Fort Weaver Rd, Ewa Beach, HI 96706 |
| Practice phone | 808-685-5621 |
| Mailing address | 1 Cvs Dr, Woonsocket, RI 02895 |
| Enumerated | June 13, 2006 |
| Last updated | February 1, 2021 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #09988 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH604 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.