Longs Drug Store
LBN: Longs Drug Stores California Inc
Longs Drug Store is an health care organization with primary practice located at 14300 Ne 20Th Ave Ste 201, Vancouver WA 98686-1446. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Longs Drug Stores California Inc can be contacted via phone (360) 571-2380, or through Halliday, Amy via phone (925) 210-6659.
Contact Information
Primary practice address
14300 Ne 20Th Ave Ste 201
Vancouver WA 98686-1446
Phone: (360) 571-2380
Fax: (360) 571-2444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY46146 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1285677542 |
|---|---|
| LBN Legal business name | Longs Drug Stores California Inc |
| DBA Doing business as | Longs Drug Store |
| Authorized official | Halliday, Amy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285677542 | NPPES |
| Washington | MEDICAID | 6023089 | |
| Washington | MEDICAID | PHA461460 | |
| Washington | Other | 4927907 |
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