Individual
DENNIS WAYNE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
200 TECHNOLOGY CT SE, SUITE B, SMYRNA, GA 30082-5250
(770) 437-8040
(770) 437-8411
Mailing address
200 TECHNOLOGY CT SE, SUITE B, SMYRNA, GA 30082-5250
(770) 437-8040
(770) 437-8411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016522
GA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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