Rusty Wade Long

NPI #1003554817 in Mcalester, Oklahoma

Provider Information

NPI Number: 1003554817
Entity Type: Individual
Name: Rusty Wade Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 432 S GEORGE NIGH EXPY
City: Mcalester
State: Oklahoma
ZIP Code: 74501-6025
Phone: (918) 423-8060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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