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1366534265
ANTHONY PAUL LONG
MARYVILLE, TN
NPI
1366534265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 4694)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- ANTHONY PAUL LONG rph
1612 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-6206
Phone number: 865-982-7162
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Mailing Address
-- ANTHONY PAUL LONG rph
1703 PEPPERMINT RD
MARYVILLE, TN 37804-4418
Phone number: 865-984-0007
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