Long, Chantheara

Long, Chantheara is an individual health care provider with primary practice located at 1 Va Ctr , Augusta ME 04330-6719. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Long, Chantheara can be contacted via phone (207) 623-8411.

Contact Information

Primary practice address
1 Va Ctr Augusta ME 04330-6719
Phone: (207) 623-8411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH236555 Massachusetts

Profile Details

NPI number 1619499910
LBN Legal business name Long, Chantheara
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2017
Last updated Jul 9th, 2017 - about 8 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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