Michael Long

NPI #1679982110 in Monmouth, Illinois

Provider Information

NPI Number: 1679982110
Entity Type: Individual
Name: Michael Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 8, 2014
Last Updated: Aug 8, 2014

Practice Location

Address: 687 150TH AVE
City: Monmouth
State: Illinois
ZIP Code: 61462-8719
Phone: (309) 734-5945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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