J Chester Long II
NPI #1235201021 in Alexandria, Indiana
Provider Information
- NPI Number
- 1235201021
- Entity Type
- Organization
- Organization Name
- J Chester Long II
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1405 N PARK AVE
- City
- Alexandria
- State
- Indiana
- ZIP Code
- 46001-1466
- Phone
- (765) 724-2355
Authorized Official
- Name
- J CHESTER LONG II, RPH
- Title
- OWNER PHARMACIST
- Phone
- (765) 724-2355
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