MS. Carol Diane Long, PHARMD

NPI #1033498563 in Fayetteville, Arkansas

Provider Information

NPI Number: 1033498563
Entity Type: Individual
Name: MS. Carol Diane Long, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 15, 2011
Last Updated: Aug 15, 2011

Practice Location

Address: 2494 E FRONTIER ELM DR
City: Fayetteville
State: Arkansas
ZIP Code: 72703-4948
Phone: (479) 236-9065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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