Individual
JUSTIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
10317 GLENMARY FARM DR, LOUISVILLE, KY 40291-4037
(502) 345-4804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020683
KY
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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