Individual
DOMINIC LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 776-7375
Mailing address
11391 APALACHIAN WAY, FISHERS, IN 46037-4266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029516A
IN
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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