Individual
MS. JILLIAN CHRISTINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1349 COMMONWEALTH AVE, BOSTON, MA 02134-3301
(617) 254-5900
Mailing address
717 ATLANTIC AVE APT 4A, BOSTON, MA 02111-2814
(508) 985-8599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236965
MA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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