Longs Drug Store

LBN: Longs Drug Stores California Inc
Longs Drug Store is an health care organization with primary practice located at 900 Sunrise Ave , Roseville CA 95661-4507. 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 (916) 782-6242, or through Halliday, Amy via phone (925) 210-6659.

Contact Information

Primary practice address
900 Sunrise Ave Roseville CA 95661-4507
Phone: (916) 782-6242
Fax: (916) 782-6858
Website:
Map and Directions
Authorized official contact:
Name: Halliday, Amy
Phone: (925) 210-6659

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY46255 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417990284
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 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417990284 NPPES
California MEDICAID 6020879
California MEDICAID PHA462550
California Other 0588143

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