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NPI Code Detail

MEDICARE: DR. ERIC D LONG PHARMD

MEDICARE: DR. ERIC D LONG 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
1183500000XPharmacist16448AL

General Provider Information

NPI Number : 1922381268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC D LONG PHARMD
Provider Business Mailing Address
First Line : 277 SOLAMERE LN
Second Line :
City : AUBURN
State : AL
Zip : 36832-5123
Country : US
Telephone Number : 334-774-0056
Fax Number :
Provider Business Practice Location Address
First Line : 5301 SUMMERVILLE RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-7423
Country : US
Telephone Number : 334-297-3061
Fax Number : 334-297-0193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 09/22/2011

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Directions to “ DR. ERIC D LONG PHARMD” Practice Location

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