SUSAN S LONG

COLUMBUS, IN
NPI1952683732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26017484A)
Additional Taxonomies183500000X Pharmacist
(Licence: CT  6527)
Enumeration Date2011-09-16
Last Update Date2011-09-16
Business Address
-- SUSAN S LONG
2400 BEAM RD
COLUMBUS, IN 47203-3405
Phone number: 812-378-4701
Mailing Address
-- SUSAN S LONG
2400 BEAM RD
COLUMBUS, IN 47203-3405
Phone number: 812-378-4701