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LONGS DRUG STORES CALIFORNIA INC NPI 1083657878


NPI Information

NPI: 1083657878
Provider Name: LONGS DRUG STORES CALIFORNIA INC

Doing Business As: LONGS DRUG STORE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
10164 SW WASHINGTON SQUARE RD
TIGARD, OR
ZIP 97223
Phone: (503) 639-1110
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LONGS DRUG STORES CALIFORNIA INC is a pharmacy in Tigard, OR. The provider is 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 located. LONGS DRUG STORES CALIFORNIA INC NPI is 1083657878. The provider is registered as an organization entity type.
The provider Is Doing Business As Longs Drug Store.

The provider's business location address is:

10164 SW WASHINGTON SQUARE RD
TIGARD, OR
ZIP 97223-458
Phone: (503) 639-1110
Fax: (503) 639-9484

The provider's authorized official is Amy Halliday .
The authorized official title is Managed Care Administrator and has the following contact phone number (925) 210-6659.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy001252OREGONYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13813121OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2166713MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.