Individual
ALLYSON NICOLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
50 GALLOWAY CT, AVON, IN 46123-9074
(317) 341-4336
Mailing address
50 GALLOWAY CT, AVON, IN 46123-9074
(317) 745-1713
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26021429A
IN
Other
Enumeration date
08/18/2006
Last updated
06/03/2014
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