Individual
AUSTIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4222 CHARLESTOWN RD, NEW ALBANY, IN 47150-9567
(812) 542-3800
Mailing address
633 E MAIN ST UNIT 518, LOUISVILLE, KY 40202-1928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020793
KY
183500000X
Pharmacist
Primary
26028283A
IN
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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