| NPI | 1104938117 |
|---|---|
| Doing Business As | LONG'S PHARMACY AND GIFTS |
| Entity Type | Organization |
| Authorized Contact | SHERI K SCHRAMM Owner 505-257-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NM 2877) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM ph00002877) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-27 |