Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Willie Edward Long

Individual provider Pharmacist · NPI 1679617898

Mr. Willie Edward Long is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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Practice location Address checks out

201 W 48th St
Jacksonville, FL 32208-5230
Phone: (904) 766-4700
Fax: (904) 764-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS0018438 (FL)

Record details

NPI number1679617898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2007
Last updated in NPPESJuly 9, 2007

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