Douglas Long is a Pharmacist in Johnson City, Tennessee. Douglas Long practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Douglas Long is 1306872379. The last update date is 2007-07-08.
Douglas Long's current location address is 105a Broyles St, Johnson City, Tennessee. You can contact this provider via phone number 4232821178 and fax number 4232820462. The mailing address for Douglas Long is 105a Broyles St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Long |
|---|---|
| Address | 105a Broyles St, Johnson City, Tennessee |
| Phone Number | 4232821178 |
| Fax Number | 4232820462 |
| Sole Proprietor | N |
| Credentials | R.P.H |
NPI Number Detail
| NPI Number | 1306872379 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105a Broyles St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376012517 |
| Phone Number | 4232821178 |
| Fax Number | 4232820462 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 1174 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Douglas Long's unique identification number?
The Douglas Long has been assigned the NPI (National Provider Identifier) Number 1306872379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Douglas Long located?
The Douglas Long is located at 105A Broyles St, Johnson City, TN 376012517.
What is Douglas Long's area of expertise and its corresponding taxonomy classification?
The Douglas Long's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When did the Douglas Long receive its 1306872379?
The Douglas Long was issued its 1306872379 on 2006-06-23, which is the date when the organization was assigned this unique identifier.
As of what date were the Douglas Long's details last updated?
The information pertaining to the Douglas Long, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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