MR. William J Long, PHARMACIST
NPI #1265777221 in Ruidoso, New Mexico
Provider Information
- NPI Number
- 1265777221
- Entity Type
- Individual
- Name
- MR. William J Long, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- Dec 3, 2012
- Last Updated
- Dec 3, 2012
Practice Location
- Address
- 1203 MECHEM DR
- City
- Ruidoso
- State
- New Mexico
- ZIP Code
- 88345-7210
- Phone
- (575) 258-2456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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