Organization · Type 2 NPI

Longs Drug Stores California LLC

Pharmacy · Modesto, CA

NPI number 1053354845 Active

Practice location

1700 Mchenry Ave
Modesto, CA 95350-4373

Call (209) 529-4810 Map

Fax (209) 529-1019

Mailing address

One Cvs Drive Box 1075
Woonsocket, RI 02895

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	PHY49725 (CA)

Pharmacy: 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 lo…

17 other providers at this address

Other pharmacy providers in Modesto

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NPI record

NPI: 1053354845
Entity type: Organization (Type 2)
Issued: Jun 13, 2006
Last updated: Feb 1, 2021
Status: Active

Other names

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CVS Pharmacy #09248 · doing business as
CVS Pharmacy #09248 · doing business as

Authorized official

Susan Colbert
Director, Payer Relations
(401) 770-2751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053354845

Longs Drug Stores California LLC's National Provider Identifier is 1053354845, issued on Jun 13, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Modesto, CA. The record was last updated on Feb 1, 2021.