Individual
DONALD DELANE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1931 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-2519
(470) 252-3185
Mailing address
1931 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-2519
(470) 252-3185
(470) 252-3189
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH016657
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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