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Individual

DR. ERIC ANTHONY LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1080 W HIGHWAY 40, VERNAL, UT 84078-2333
(435) 789-7235
(435) 789-6140
Mailing address
1080 W HIGHWAY 40, VERNAL, UT 84078-2333
(435) 789-7235

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8200786
UT

Other

Enumeration date
09/29/2019
Last updated
09/29/2019
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