Longs Drug Store #09821
LBN: Longs Drug Stores California Llc
Longs Drug Store #09821 is an health care organization with primary practice located at 2116 S Broadway , Santa Maria CA 93454-7812. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Longs Drug Stores California Llc can be contacted via phone (805) 922-7934, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
2116 S Broadway
Santa Maria CA 93454-7812
Phone: (805) 922-7934
Fax: (805) 922-9998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY49710 | California |
Profile Details
| NPI number | 1154364487 |
|---|---|
| LBN Legal business name | Longs Drug Stores California Llc |
| DBA Doing business as | Longs Drug Store #09821 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 16th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154364487 | NPPES |
| Other | 0554255 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 1154364487 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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