Individual
DR. TYREL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1492 W ANTELOPE DR, LAYTON, UT 84041-1139
(801) 825-3879
Mailing address
3963 N 550 W, PLEASANT VIEW, UT 84414-1042
(801) 866-7223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8665125-1701
UT
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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