Individual
DR. STACY LIN LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
94 SMITH AVE APT A, NORWICH, CT 06360-3375
(860) 625-6834
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH237564
MA
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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