Individual
ANDREA C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604
(423) 794-5520
(423) 282-6940
Mailing address
215 E SPRINGBROOK DR, JOHNSON CITY, TN 37601-1761
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
019174
KY
1835P2201X
Ambulatory Care Pharmacist
Primary
39179
TN
Other
Enumeration date
07/27/2017
Last updated
04/13/2020
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