Individual
MRS. JOHNNA LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-8129
Mailing address
41020 POCAHONTAS RD, BAKER CITY, OR 97814-8101
(541) 523-2931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010571
OR
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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