MR. Kenneth G Long, RPH

NPI #1730462219 in Kankakee, Illinois

Provider Information

NPI Number
1730462219
Entity Type
Individual
Name
MR. Kenneth G Long, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Sep 21, 2011
Last Updated
Sep 21, 2011

Practice Location

Address
1050 N KENNEDY DR
ZIP Code
60901-2033
Phone
(815) 932-9615

Specialties & Taxonomy Codes

Specialty
Pharmacist

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