Individual
MELODIE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1212 STATE ST, WHITE PINE, TN 37890-3467
(865) 674-7517
(865) 674-8198
Mailing address
1212 STATE ST, WHITE PINE, TN 37890-3467
(865) 674-7517
(865) 674-8198
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000026120
TN
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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