Individual
KIMBERLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 CONGRESSIONAL BLVD, CARMEL, IN 46032-5646
(800) 947-2711
Mailing address
3724 KNICKERBOCKER PL, 3C, INDIANAPOLIS, IN 46240-7608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023281A
IN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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