Individual
CHARRON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12 TWIN OAKS RD, LAKEVILLE, MA 02347-2117
(508) 813-9340
Mailing address
12 TWIN OAKS RD, LAKEVILLE, MA 02347-2117
(508) 813-9340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26107
MA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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