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Individual

MR. RICHARD EARL LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
328 ST JOHN ST, HAVRE DE GRACE, MD 21078
(410) 939-4545
(410) 939-7780
Mailing address
1108 MORRISON BLVD, HAVRE DE GRACE, MD 21078
(410) 939-2340

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06457
MD

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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