Individual
DR. SHON MICHAEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1600 FEDERAL DR, MONTGOMERY, AL 36107-1128
(334) 777-5871
Mailing address
5015 JIM GOGGANS RD, DORA, AL 35062-1808
(205) 514-7877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20085
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20085
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
10/16/2017
Last updated
10/16/2017
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