Organization · Type 2 NPI

Longs Drug Stores California LLC

Community/Retail Pharmacy · Henderson, NV

NPI number 1265475057 Active

Practice location

2501 Anthem Village Dr
Henderson, NV 89052-5504

Call (702) 990-4613 Map

Fax (702) 990-4626

Mailing address

1 Cvs Dr, P.o. Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PH01699 (NV)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Henderson

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NPI record

NPI: 1265475057
Entity type: Organization (Type 2)
Issued: Jun 13, 2006
Last updated: Jun 4, 2019
Status: Active

Other names

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CVS Pharmacy #09548 · doing business as
CVS Pharmacy #09548 · 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 1265475057

Longs Drug Stores California LLC's National Provider Identifier is 1265475057, issued on Jun 13, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Henderson, NV. The record was last updated on Jun 4, 2019.