Long, Carol Diane
Long, Carol Diane is an individual health care provider with primary practice located at 2494 E Frontier Elm Dr , Fayetteville AR 72703-4948. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Long, Carol Diane can be contacted via phone (479) 236-9065.Contact Information
Primary practice address
2494 E Frontier Elm Dr
Fayetteville AR 72703-4948
Phone: (479) 236-9065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PD07849 | Arkansas |
Profile Details
| NPI number | 1033498563 |
|---|---|
| LBN Legal business name | Long, Carol Diane |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2011 |
| Last updated | Aug 15th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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