Provider Demographics
NPI:1093303562
Name:LANGLEY, WILLIAM WADE II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WADE
Last Name:LANGLEY
Suffix:II
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 1:1070 CHADWICK SHORES DR
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-9268
Mailing Address - Country:US
Mailing Address - Phone:910-774-4600
Mailing Address - Fax:
Practice Address - Street 1:423 YOPP RD STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-3594
Practice Address - Country:US
Practice Address - Phone:910-347-9684
Practice Address - Fax:910-455-0622
Is Sole Proprietor?:No
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC16441OtherPHARMACY LICENSE NUMBER