PATRICK RICHARD LONG

DETROIT, MI
NPI1104958024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302411076)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- PATRICK RICHARD LONG RPh
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1644
Mailing Address
-- PATRICK RICHARD LONG RPh
5740 W ALLEN RD
FOWLERVILLE, MI 48836-9745
Phone number: 517-223-7630
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