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LONGS DRUG STORES CALIFORNIA LLC NPI 1841404571


NPI Information

NPI: 1841404571
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #09843

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
461 W WILLIAMS AVE
FALLON, NV
ZIP 89406
Phone: (775) 867-3700
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LONGS DRUG STORES CALIFORNIA LLC is a community/retail pharmacy pharmacy in Fallon, NV. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. LONGS DRUG STORES CALIFORNIA LLC NPI is 1841404571. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09843.

The provider's business location address is:

461 W WILLIAMS AVE
FALLON, NV
ZIP 89406-734
Phone: (775) 867-3700
Fax: (775) 867-3747

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Manager Pharmacy Enrollments and has the following contact phone number (401) 770-2937.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 6/3/2019.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
1002801693MEDICAIDNEVADA
22990477OTHERNEVADANCPDP

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: 4/28/2024

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