DANIEL LONG

COLUMBIA, SC
NPI1891277505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  36053)
Additional Taxonomies183500000X Pharmacist
(Licence: NC  25012)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
DANIEL LONG PharmD
630 KILBOURNE ROAD
COLUMBIA, SC 29205
Phone number: 803-254-4619
Mailing Address
DANIEL LONG PharmD
630 KILBOURNE RD
COLUMBIA, SC 29205
Phone number: 803-254-4619
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