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Individual

MR. TERRANCE FRANKLIN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1501 GOODMAN RD W, HORN LAKE, MS 38637-1400
(662) 342-9283
Mailing address
1501 GOODMAN RD W, HORN LAKE, MS 38637-1400
(662) 342-9283

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28092
TN
183500000X
Pharmacist
Primary
E09029
MS
183500000X
Pharmacist
PS33022
FL

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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