Individual provider · Type 1 NPI

Kenneth G. Long, RPH

Pharmacist · Kankakee, IL

NPI number 1730462219 Active

Practice location

1050 N Kennedy Dr
Kankakee, IL 60901-2033

Mailing address

3180 Woodhaven Dr
Bourbonnais, IL 60914-4804

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051037201 (IL)

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 1730462219

Kenneth G. Long, RPH's National Provider Identifier is 1730462219, issued on Sep 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kankakee, IL. The record was last updated on Sep 21, 2011.