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

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

Practice location Address checks out

201 W 48th St
Jacksonville, FL 32208-5230
Phone: (904) 766-4700
Fax: (904) 764-4900
Show map & directions

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
Mailing addressPo Box 551444, Jacksonville, FL 32255-1444

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