(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554817
Provider Name: RUSTY WADE LONG
Entity Type: Individual
Taxonomy Code: 183500000X
Specialty: Pharmacist
License Number: 19141
Most Important Dates
Enumeration Date: 05/23/2022
Last Updated: 05/23/2022
Provider Practice Location
432 S GEORGE NIGH EXPY
MCALESTER
OK
745016025
Practice Location Phone/Fax
Phone: 9184238060
Fax: 9184238409
Provider Mailing Location
432 S GEORGE NIGH EXPY
MCALESTER
OK
745016025
Provider Mailing Phone/Fax
Phone: 9184238060
Fax: