WILLIE EDWARD LONG

JACKSONVILLE, FL
NPI1679617898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps0018438)
Enumeration Date2007-02-19
Last Update Date2007-07-09
Business Address
Mr. WILLIE EDWARD LONG
201 W 48TH ST
JACKSONVILLE, FL 32208-5230
Phone number: 904-766-4700
Mailing Address
Mr. WILLIE EDWARD LONG
PO BOX 551444
JACKSONVILLE, FL 32255-1444
Phone number: 904-766-4700
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