person
Mark Longo, RPH
Pharmacist in Page, Arizona
NPI 1093196859

Mark Longo is a Pharmacist based in Page, AZ. Mark Longo practices in Page, AZ and has the professional credentials of RPH. The NPI Number for Mark Longo is 1093196859 and holds a License No. S012588 (Arizona).

The current practice location address for Mark Longo is 650 Elm Street, Page, AZ and can be reached out via phone at 928-645-5714 and via fax at 928-645-1286.

Location: 650 Elm Street, Page, AZ, 86040
person
Provider Profile Details
NPI Number
1093196859
Provider Name
Mark Longo
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
650 Elm Street, Page, AZ, 86040
Phone Number
928-645-5714
Fax Number
928-645-1286
Provider Enumeration Date
06/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S012588 01 AZ PHARMACY LICENSE
151407-1701 01 UT PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
650 Elm Street
City
State
Zip
86040
Phone Number
928-645-5714
Fax Number
928-645-1286
person
Provider Business Mailing Address Details
Address
650 Elm Street
City
State
Zip
86040
Phone Number
928-645-5714
Fax Number
928-645-1286
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
S012588 (Arizona)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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