Provider Demographics
NPI:1093291122
Name:LANGNAS, THAO LE
Entity Type:Individual
Prefix:MS
First Name:THAO
Middle Name:LE
Last Name:LANGNAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 1ST CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-1609
Mailing Address - Country:US
Mailing Address - Phone:636-946-0738
Mailing Address - Fax:636-946-0775
Practice Address - Street 1:1900 1ST CAPITOL DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-1609
Practice Address - Country:US
Practice Address - Phone:636-946-0738
Practice Address - Fax:636-946-0775
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist