Individual
MR. LONNIE D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1122 N MAIN ST, ALTUS, OK 73521-3122
(580) 477-0381
(580) 477-1749
Mailing address
1122 N MAIN ST, ALTUS, OK 73521-3122
(580) 477-0381
(580) 477-1749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9287
OK
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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