Individual
BRAD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 CLAREMONT AVE, ASHLAND, OH 44805-3528
(419) 289-3717
(419) 289-8898
Mailing address
1211 CLAREMONT AVE, ASHLAND, OH 44805-3528
(419) 289-3717
(419) 289-8898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03319811
OH
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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