NPI 1972749414 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Makawao, HI. National Provider Identifier 1972749414, active.
NPI record
| NPI | 1972749414 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 55 Kiopaa Pl, Makawao, HI 96768 |
| Practice phone | 808-573-9304 |
| Mailing address | 1 Cvs Dr, Pharmacy Enrollments -Box 1075, Woonsocket, RI 02895 |
| Enumerated | January 6, 2009 |
| Last updated | July 29, 2021 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #03059 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy primary | 333600000X | PHY765 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.