MEDICARE: CHRISTOPHER LOLONG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	23047	NV

General Provider Information

NPI Number	:	1316665474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LOLONG PHARMD

Provider Business Mailing Address
First Line	:	1042 VALLEY LIGHT AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89011-2651
Country	:	US
Telephone Number	:	702-493-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 E CENTENNIAL PKWY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-5601
Country	:	US
Telephone Number	:	702-633-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	08/16/2022

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Directions to “ CHRISTOPHER LOLONG PHARMD” Practice Location

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