Longs Drug Stores California, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Lihue, HI
NPI 1710184643 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710184643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 562050 (HI)
- Legal business name
- LONGS DRUG STORES CALIFORNIA, INC.
- Practice address
- 3-2600 Kaumualii Hwy
#1
Lihue, HI 96766-2040 - Phone
- (808) 245-8871
- Fax
- (808) 245-1681
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Amy M Halliday
- Title
- Managed Care Administrator
- Phone
- (925) 210-6659
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Longs Drug Store 147
Locations
3-2600 Kaumualii Hwy
#1
Lihue, HI 96766
Phone (808) 245-8871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 562050 | HI | Yes |
Addresses
Primary practice location
3-2600 Kaumualii Hwy
#1
Lihue, HI 96766-2040
Mailing address
141 N Civic Dr
Walnut Creek, CA 94596-3815
Phone (925) 210-6659
Other names
- Longs Drug Store #189
Other providers in Lihue, HI
- Bunnie Lehuanani Lo
- James R Lockyer
- Meghan Long
- Robert Michael Long
- Longs Drug Stores California LLC
- Jere H.E. Loo
- Alexandra Ruth Lopez de Haro
- Linda Lorenz
- Amithea Love
- Denise Love
All providers in Lihue, HI · Durable Medical Equipment & Medical Supplies in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.