Individual
CHRISTY LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 A1A S, ST AUGUSTINE, FL 32080
(904) 471-2010
Mailing address
1920 A1A S, ST AUGUSTINE, FL 32080-6508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS43726
FL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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