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Individual
DR. ROGER GEORGE LONG
Active
Individual
DR. ROGER GEORGE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 41785
FL
183500000X
Pharmacist
RI15676
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PU 6363
FL BOARD OF PHARMACY, CONSULTANT LICENSE
FL
Enumeration date
05/24/2005
Last updated
01/16/2013
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