IndividualActive
Andrea Long, PHARMD
NPI 1689198186 · Ambulatory Care Pharmacist · Johnson City, TN
Provider details
- NPI number
- 1689198186
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 019174 (KY)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
301 Med Tech Pkwy Ste 240
Johnson City, TN 37604
Phone: (423) 794-5520
Fax: (423) 282-6940
Approximate (ZIP-level) locationGet directions
Mailing address
215 E Springbrook Dr
Johnson City, TN 37601-1761
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.