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Mr. Willie Edward Long
Pharmacist in Jacksonville, Florida
NPI 1679617898

Willie Edward Long is a Pharmacist based in Jacksonville, FL. Willie Edward Long practices in Jacksonville, FL. The NPI Number for Willie Edward Long is 1679617898 and holds a License No. PS0018438 (Florida).

The current practice location address for Willie Edward Long is 201 W 48Th St, Jacksonville, FL and can be reached out via phone at 904-766-4700 and via fax at 904-764-4900.

Location: 201 W 48Th St, Jacksonville, FL, 32255-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679617898
Provider Name
Willie Edward Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 W 48Th St, Jacksonville, FL, 32255-1444
Phone Number
904-766-4700
Fax Number
904-764-4900
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1077848 01 FL NCPD NUMBER
institution
Provider Business Practice Location Address Details
Address
201 W 48Th St
City
Jacksonville
State
Florida
Zip
32208-5230
Phone Number
904-766-4700
Fax Number
904-764-4900
person
Provider Business Mailing Address Details
Address
201 W 48Th St
City
Jacksonville
State
Florida
Zip
32208-5230
Phone Number
904-766-4700
Fax Number
904-764-4900
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PS0018438 (Florida)
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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