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Individual

MR. JAMES D LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1573 CAHABA VALLEY RD, PELHAM, AL 35124-3251
(205) 988-5023
(205) 988-5024
Mailing address
510 FIELDSTONE DR, HELENA, AL 35080-3523
(205) 664-5718

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12250
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12250
STATE PHARMACY LICENSE NU
AL
Enumeration date
11/20/2006
Last updated
07/08/2007
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