DR. Daraza Long, PHARMD

NPI #1023383411 in Fort Belvoir, Virginia

Provider Information

NPI Number: 1023383411
Entity Type: Individual
Name: DR. Daraza Long, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Mar 19, 2012
Last Updated: Mar 19, 2012

Practice Location

Address: 9300 DEWITT LOOP
City: Fort Belvoir
State: Virginia
ZIP Code: 22060-5285
Phone: (571) 231-3260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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