Individual
MICHAEL ALLEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2689
(319) 339-3637
Mailing address
500 E MARKET ST, IOWA CITY, IA 52245-2689
(319) 339-3637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16403
IA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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