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Individual
DR. STEPHANIE A LONGSHAW
Active
Individual
DR. STEPHANIE A LONGSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04114200
NJ
183500000X
Pharmacist
28RJ09196
NJ
183500000X
Pharmacist
RP00009203
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI04114200
PHARMACIST LICENSE
NJ
01
—
28RJ09196
NEW JERSEY IMMUNIZATION
NJ
01
—
RP00009203
NM PHARMACIST LICENSE
NM
Enumeration date
02/18/2021
Last updated
02/18/2021
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