Individual
LEVI RAYMOND LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
105 LINCOLN WAY, AMES, IA 50010-3323
(515) 232-1653
Mailing address
105 LINCOLN WAY, AMES, IA 50010-3323
(515) 232-1653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22939
IA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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