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1396088084
ELAINE BERTHA LONG
PISGAH FOREST, NC
NPI
1396088084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 20273)
Enumeration Date
2013-04-01
Last Update Date
2013-04-01
Business Address
Dr. ELAINE BERTHA LONG PharmD
125 BLACK WALNUT LN
PISGAH FOREST, NC 28768-9122
Phone number: 828-862-8932
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Mailing Address
Dr. ELAINE BERTHA LONG PharmD
125 BLACK WALNUT LN
PISGAH FOREST, NC 28768-9122
Phone number: 828-862-8932
Copy
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