| Mark Longo, RPH | |
|
650 Elm Street, Page, AZ 86040 | |
| (928) 645-5714 | |
| (928) 645-1286 |
| Full Name | Mark Longo |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 650 Elm Street, Page, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093196859 | NPI | - | NPPES |
| S012588 | Other | AZ | PHARMACY LICENSE |
| 151407-1701 | Other | UT | PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | S012588 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Longo, RPH 650 Elm St, Page, AZ 86040 Ph: (928) 645-5714 | Mark Longo, RPH 650 Elm Street, Page, AZ 86040 Ph: (928) 645-5714 |
Dylan Vuduy Ly, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650 Elm St, Page, AZ 86040 Phone: 928-645-5714 | |
Krishna Chaitanya Gondi, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650, Elm Street, Page, AZ 86040 Phone: 928-645-2917 Fax: 928-645-1286 | |
Daniel Peter Buys, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650 Elm Street, Page, AZ 86040 Phone: 928-645-5714 | |
Sita Shablack, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650 Elm Street, Page, AZ 86040 Phone: 928-645-5714 | |
Clinton Charles Mccormick, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650 Elm St., Page, AZ 86040 Phone: 928-645-5714 | |
Boyeon Satterlee, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 650 Elm St., Page, AZ 86040 Phone: 928-645-5714 Fax: 928-645-1286 |