Individual
DR. ALLEN STEPHEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
500 N GALLOWAY AVE STE 2, MESQUITE, TX 75149-4354
(972) 288-4485
(972) 329-1091
Mailing address
500 N GALLOWAY AVE STE 2, MESQUITE, TX 75149-4354
(972) 288-4485
(972) 329-1091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52444
TX
Other
Enumeration date
10/26/2012
Last updated
11/29/2020
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