Individual
LAURA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
8340 GREENSBORO DR UNIT 110, MC LEAN, VA 22102-3535
(361) 728-6437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202217822
VA
183500000X
Pharmacist
Primary
24118
NC
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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