Individual
ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4995 E US ROUTE 36, DECATUR, IL 62521-9701
(217) 864-9866
(217) 864-6986
Mailing address
4995 E US ROUTE 36, DECATUR, IL 62521-9701
(217) 864-9866
(217) 864-6986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051041192
IL
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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