Provider Demographics
NPI:1962752147
Name:PARKER-LONG, COURTNEY JOY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JOY
Last Name:PARKER-LONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3792 S NC 127 HWY
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8239
Mailing Address - Country:US
Mailing Address - Phone:828-294-1119
Mailing Address - Fax:
Practice Address - Street 1:3369 HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-9024
Practice Address - Country:US
Practice Address - Phone:828-396-4256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist