DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LONGS DRUG STORES CALIFORNIA LLC

MEDICARE: LONGS DRUG STORES CALIFORNIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyPHY49437CA
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15622837OTHERCANCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417989922
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONGS DRUG STORES CALIFORNIA LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number : 401-770-7108
Provider Business Practice Location Address
First Line : 102 N SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-2427
Country : US
Telephone Number : 626-237-2054
Fax Number : 626-237-2058
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/05/2012

Similar Medicare Providers

1891794939 — FERNVIEW CONVALESCENT HOSPITAL, INC
Practice Location Address:
126 N SAN GABRIEL BLVD
SAN GABRIEL, CA
91775-2427
Practice Phone: 626-285-3131
Practice Fax: 626-286-2391
1457577660 — ALBERT LIU DMD
Practice Location Address:
138 N SAN GABRIEL BLVD
SAN GABRIEL, CA
91775-2427
Practice Phone: 310-926-9882
Practice Fax:
1477814820 — PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP
Practice Location Address:
126 N SAN GABRIEL BLVD
SAN GABRIEL, CA
91775-2427
Practice Phone: 626-285-3131
Practice Fax: 323-286-2391
1437547056 — JENNIFER TRINANES PTA
Practice Location Address:
126 N SAN GABRIEL BLVD
SAN GABRIEL, CA
91775-2427
Practice Phone: 626-285-3131
Practice Fax:
1326436940 — ANDREA GRABER
Practice Location Address:
126 N SAN GABRIEL BLVD
SAN GABRIEL, CA
91775-2427
Practice Phone: 626-261-1296
Practice Fax:
1114315769 — SUSAN HENRY PT
Practice Location Address:
126 N SAN GABRIEL BLVD
SAN GABRIEL, CA
91775-2427
Practice Phone: 626-285-3131
Practice Fax:

Directions to “LONGS DRUG STORES CALIFORNIA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.