Dr Ladacia Sharde Long, PHARMD - Pharmacist in Fayetteville, GA

Dr Ladacia Sharde Long, PHARMD is a Pharmacist based in Fayetteville, Georgia. Dr Ladacia Sharde Long is licensed to practice in Georgia (license number 032192) and her current practice location is 480 North Glenn Street, Fayetteville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 461-3431.

NPI number for Dr Ladacia Sharde Long is 1194320341 and her current mailing address is 480 North Glenn Street, Fayetteville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194320341.

Contact Information

Dr Ladacia Sharde Long, PHARMD
480 North Glenn Street,
Fayetteville, GA 30214
(770) 461-3431
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Ladacia Sharde Long
GenderFemale
SpecialityPharmacist
Location480 North Glenn Street, Fayetteville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194320341
  • Provider Enumeration Date: 12/03/2020
  • Last Update Date: 12/03/2020

Medical Identifiers

Medical identifiers for Dr Ladacia Sharde Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194320341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 032192 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ladacia Sharde Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ladacia Sharde Long, PHARMD
480 North Glenn Street,
Fayetteville, GA 30214

Ph: (770) 461-3431
Dr Ladacia Sharde Long, PHARMD
480 North Glenn Street,
Fayetteville, GA 30214

Ph: (770) 461-3431

Reviews and Comments


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