Lara Long

NPI #1285239152 in Terre Haute, Indiana

Provider Information

NPI Number
1285239152
Entity Type
Individual
Name
Lara Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 1, 2020
Last Updated
Dec 1, 2020

Practice Location

Address
2440 WABASH AVE
State
Indiana
ZIP Code
47807-3310
Phone
(812) 235-4322

Specialties & Taxonomy Codes

Specialty
Pharmacist

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