Long, Roger George

Long, Roger George is an individual health care provider with primary practice located at 1631 Del Prado Blvd S , Cape Coral FL 33990-6739. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Long, Roger George can be contacted via phone (239) 574-9183.

Contact Information

Primary practice address
1631 Del Prado Blvd S Cape Coral FL 33990-6739
Phone: (239) 574-9183
Fax: (239) 574-9483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RI15676 New Jersey
Pharmacy Service Providers / Pharmacist 183500000X PS 41785 Florida

Profile Details

NPI number 1366445124
LBN Legal business name Long, Roger George
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 16th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366445124 NPPES
Florida Other PU 6363 FL BOARD OF PHARMACY, CONSULTANT LICENSE

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