Mark Longo, RPH

NPI #1093196859 in Page, Arizona

Provider Information

NPI Number: 1093196859
Entity Type: Individual
Name: Mark Longo, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 17, 2015
Last Updated: Jun 17, 2015

Practice Location

Address: 650 ELM STREET
City: Page
State: Arizona
ZIP Code: 86040
Phone: (928) 645-5714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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