Individual
ANDREW BRAD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3948 AIRPORT BLVD, MOBILE, AL 36608-1624
(251) 345-3394
Mailing address
5593 FAIRFIELD PL, MOBILE, AL 36609-2569
(251) 379-9501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15909
AL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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