Melodie Ann Long, CPhT
Pharmacy Technician in White Pine, TN. Individual provider (NPI-1).
NPI number1891361069
StatusActive
Last updated in NPPESMay 28, 2021
Details
- NPI
- 1891361069
- Entity type
- Individual (NPI-1)
- Name
- Melodie Ann Long
- Credential
- CPhT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2021
- Certification date
- May 28, 2021
- Last updated
- May 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 0000026120 | TN | Yes |
Practice location
1212 State StWhite Pine, TN 37890-3467
Phone 865-674-7517 · Fax 865-674-8198
Mailing address
1212 State StWhite Pine, TN 37890-3467
Phone 865-674-7517 · Fax 865-674-8198
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