Individual
CHANNARY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ALHAMBRA BLVD, SACRAMENTO, CA 95816-5212
(916) 456-3421
Mailing address
1025 ALHAMBRA BLVD, SACRAMENTO, CA 95816-5212
(916) 456-3421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73690
CA
Other
Enumeration date
10/25/2015
Last updated
07/07/2022
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