FREDERICK SAMUEL LONG

COLUMBIA, SC
NPI1356691687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  4465)
Enumeration Date2012-09-13
Last Update Date2012-09-13
Business Address
Mr. FREDERICK SAMUEL LONG
3312 DEVINE STREET
COLUMBIA, SC 29205-1850
Phone number: 803-748-8588
Mailing Address
Mr. FREDERICK SAMUEL LONG
3312 ELLISON ROAD
COLUMBIA, SC 29205-1850
Phone number: 803-748-8588
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