BRIAN CHARLES LONGO

HIGH RIDGE, MO
NPI1215538525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2009023448)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
BRIAN CHARLES LONGO
2700 RIDGE POINT DR
HIGH RIDGE, MO 63049-2201
Phone number: 636-375-3130
Mailing Address
BRIAN CHARLES LONGO
654 GREEN FOREST DR
FENTON, MO 63026-3461
Phone number: