Individual
BRIAN RICHARD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2028 N CENTER AVE, SOMERSET, PA 15501-7436
(814) 443-6963
Mailing address
2028 N CENTER AVE, SOMERSET, PA 15501-7436
(814) 443-6963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37686
SC
183500000X
Pharmacist
Primary
RP454184
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37686
SOUTH CAROLINA STATE BOARD OF PHARMACY
SC
01
—
RP454184
PA STATE BOARD OF PHARMACY
PA
Enumeration date
08/22/2018
Last updated
01/14/2021
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