BRIAN LONG

DALLAS, GA
NPI1093052144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  018378)
Enumeration Date2013-01-09
Last Update Date2013-01-09
Business Address
-- BRIAN LONG
51 E PAULDING DR
DALLAS, GA 30157-7190
Phone number: 770-505-8988
Mailing Address
-- BRIAN LONG
51 E PAULDING DR
DALLAS, GA 30157-7190
Phone number: 770-505-8988
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