Individual
BRENDAN VISITHS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
45 VETERANS MEMORIAL DR, NORTH ADAMS, MA 01247-2359
(413) 664-8712
Mailing address
45 VETERANS MEMORIAL DR, NORTH ADAMS, MA 01247-2359
(413) 664-8712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239909
MA
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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