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1093897399
MIKE THOMAS LONG
HICKORY, NC
NPI
1093897399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 7809)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Mr. MIKE THOMAS LONG RPh
126 N CENTER ST
HICKORY, NC 28601-6215
Phone number: 828-322-7717
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Mailing Address
Mr. MIKE THOMAS LONG RPh
575 19TH AVENUE DR NW
HICKORY, NC 28601-1279
Phone number: 828-327-8058
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