Individual
KIMBERLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
210 E FRANKLIN AVE, WEATHERFORD, OK 73096-5135
(580) 772-5600
Mailing address
210 E FRANKLIN AVE, WEATHERFORD, OK 73096-5135
(580) 772-5600
(580) 772-5604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13075
SD
Other
Enumeration date
10/01/2012
Last updated
03/13/2021
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