Individual
DR. ELTON WAYNE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5106 NC HIGHWAY 87 S STE 100, FAYETTEVILLE, NC 28306-3424
(910) 483-3466
Mailing address
2073 RIVER RD, FAYETTEVILLE, NC 28312-8445
(910) 303-2693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10980
NC
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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