Individual
KRISTY MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6395 AIRPORT BLVD, MOBILE, AL 36608-3131
(251) 342-0153
Mailing address
6395 AIRPORT BLVD, MOBILE, AL 36608-3131
(251) 342-0153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15890
AL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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