Individual
AMY C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 HUDSON DR, GORDO, AL 35466-2431
(205) 364-8661
(205) 364-6123
Mailing address
PO BOX 653, GORDO, AL 35466-0653
(205) 364-8661
(205) 364-6123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13551
AL
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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