Individual
GREGORY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1010 N PROSPECT ST STE 56, BOWLING GREEN, OH 43402-1335
(419) 419-0104
Mailing address
1010 N. PROSPECT, SUITE 56, PO BOX 409, BOWLING GREEN, OH 43402
(419) 419-0104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03226201
OH
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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