Organization · Type 2 NPI

Longs Drug Stores California LLC

Pharmacy · Los Angeles, CA

NPI number 1669414496 Active

Practice location

8490 Beverly Blvd
Los Angeles, CA 90048-3414

Call (323) 653-0217 Map

Fax (323) 653-5138

Mailing address

1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	PHY49587 (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…

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NPI record

NPI: 1669414496
Entity type: Organization (Type 2)
Issued: Jun 13, 2006
Last updated: Feb 1, 2021
Status: Active

Other names

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CVS Pharmacy #09503 · doing business as
CVS Pharmacy #09503 · doing business as

Authorized official

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

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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 1669414496

Longs Drug Stores California LLC's National Provider Identifier is 1669414496, issued on Jun 13, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 1, 2021.