Provider Demographics
NPI:1447545025
Name:LONG, ANNA CATHERINE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CATHERINE
Last Name:LONG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 RAY MEARS BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5457
Mailing Address - Country:US
Mailing Address - Phone:865-560-1550
Mailing Address - Fax:
Practice Address - Street 1:8040 RAY MEARS BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5457
Practice Address - Country:US
Practice Address - Phone:865-560-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist