Individual
CORY WILLIAM LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
3400 DUDLEY AVE, PARKERSBURG, WV 26104-1810
(304) 428-0946
Mailing address
164 CROWN MANOR CIR, MINERAL WELLS, WV 26150-9767
(570) 875-8002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013689
WV
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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