Albert Long

NPI #1033482807 in East Saint Louis, Illinois

Provider Information

NPI Number: 1033482807
Entity Type: Individual
Name: Albert Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 9, 2012
Last Updated: Feb 9, 2012

Practice Location

Address: 2510 STATE ST
City: East Saint Louis
State: Illinois
ZIP Code: 62205-2323
Phone: (618) 875-5085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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