Longs Drug Stores California Llc

Specialty details in registry · San Diego, CA

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At a glance

1792 Garnet Ave, San Diego, CA 92109-3350

NPPES record updated Jun 15, 2012. Public records can lag behind changes at a practice.

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Practice location

1792 Garnet Ave
San Diego, CA 92109-3350
Professional details: NPI, taxonomy & registry record
NPI1275576001
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
333600000X
Enumeration date
Jun 13, 2006
Record updated
Jun 15, 2012
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

Specialty details in registry

333600000X · Primary

Specialty details in registry

3336C0003X

License reported: PHY49680 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1792 Garnet Ave
San Diego, CA 92109-3350
Phone
(858) 483-1489
Fax
(858) 483-2237
Mailing address
1 CVS DR
P.O. BOX 1075
WOONSOCKET, RI 028956146
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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