Individual
BRIANNA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 N SAINT FRANCIS AVE STE 200, WICHITA, KS 67214-2866
(785) 527-1383
Mailing address
4803 N HOBBY ST, WICHITA, KS 67219-3014
(785) 527-1383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-109287
KS
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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