Individual
LONG LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4238 W HUNDRED RD, CHESTER, VA 23831-1505
(804) 706-1419
Mailing address
606 OAKLAND HILLS DR, APT 301, ARNOLD, MD 21012-2026
(240) 461-7034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24540
MD
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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