Provider Demographics
NPI:1346342912
Name:LONG, AARON FRANCIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:FRANCIS
Last Name:LONG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHERN NAVAJO MEDICAL CENTER
Mailing Address - Street 2:PO BOX 160 (ATTN: PHARMACY)
Mailing Address - City:SHIPROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87420
Mailing Address - Country:US
Mailing Address - Phone:505-368-7288
Mailing Address - Fax:
Practice Address - Street 1:NORTHERN NAVAJO MEDICAL CENTER
Practice Address - Street 2:U.S. HIGHWAY 491 NORTH
Practice Address - City:SHIPROCK
Practice Address - State:NM
Practice Address - Zip Code:87420
Practice Address - Country:US
Practice Address - Phone:505-368-7288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6015183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist