Individual provider · Type 1 NPI

Willie Edward Long

Pharmacist · Jacksonville, FL

NPI number 1679617898 Active

Practice location

201 W 48th St
Jacksonville, FL 32208-5230

Call (904) 766-4700 Map

Fax (904) 764-4900

Mailing address

PO Box 551444
Jacksonville, FL 32255-1444

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS0018438 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1679617898

Willie Edward Long's National Provider Identifier is 1679617898, issued on Feb 19, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 9, 2007.