SUSAN O LONG

BRISTOL, VA
NPI1669592507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202006630)
Additional Taxonomies183500000X Pharmacist
(Licence: TN  10365)
Enumeration Date2007-03-31
Last Update Date2007-07-08
Business Address
-- SUSAN O LONG rph
13245 LEE HWY
BRISTOL, VA 24202-5963
Phone number: 276-466-0319
Mailing Address
-- SUSAN O LONG rph
116 SOLAR ST
BRISTOL, VA 24201-4139
Phone number: 276-669-6457