MR. Tim Long, RPH

NPI #1083210124 in Longview, Texas

Provider Information

NPI Number
1083210124
Entity Type
Individual
Name
MR. Tim Long, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Dec 4, 2020
Last Updated
Dec 4, 2020

Practice Location

Address
4006 ESTES PKWY
State
Texas
ZIP Code
75603-1712
Phone
(903) 234-2083

Specialties & Taxonomy Codes

Specialty
Pharmacist

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