MICHALA LONG

DOTHAN, AL
NPI1770705667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AL  11570)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PS 25537)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- MICHALA LONG Pharmacist
3850 WEST MAIN ST
DOTHAN, AL 36305
Phone number: 334-794-6112
Mailing Address
-- MICHALA LONG Pharmacist
3291 JOHN CLARK RD
BONIFAY, FL 32425
Phone number: 850-263-1746