Longs Drug Stores California Llc, NPI 1740222553
Pharmacy in Tracy, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1740222553
NPI Entity Type Organization
Provider Name Longs Drug Stores California Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3320 N Tracy Blvd, Tracy, CA, US
Provider Mailing Address 1 Cvs Dr, P.o. Box 1075, Woonsocket, RI, US, 028956146
Is Sole Proprietor? No
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Organization Official

Official Name Susan F Colbert
Official Position DIRECTOR, PAYER RELATIONS
Phone 401-770-2751

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

CVS Pharmacy #09855
Doing Business As

Business Address

Longs Drug Stores California Llc
3320 N Tracy Blvd

Tracy, CA, US

Phone: 209-836-2316
Fax: 209-836-3201

Mailing Address

Longs Drug Stores California Llc
1 Cvs Dr
P.o. Box 1075
Woonsocket, RI, US
ZIP 028956146
Phone: 401-765-1500
Fax: 401-770-7108

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

PHY49675 CA No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1740222553 CA MEDICAID 05
0574891 OTHER ID NUMBER-COMMERCIAL NUMBER 01

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