Individual
KAITLIN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8514 RANCH BLVD, LITTLE ROCK, AR 72223-4409
(501) 294-0895
Mailing address
8514 RANCH BLVD, LITTLE ROCK, AR 72223-4409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14140
AR
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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