Individual
KRISTIN MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
315 W BUTLER RD, MAULDIN, SC 29662-2531
(864) 288-1847
Mailing address
4310 ARBOR CREST CT, FOUNTAIN INN, SC 29644-9072
(803) 271-3267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42650
SC
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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