Provider Demographics
NPI:1235880840
Name:LANG, CALEB JAMES (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:JAMES
Last Name:LANG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 NW KESSLER DR APT 308
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-4168
Mailing Address - Country:US
Mailing Address - Phone:785-280-0707
Mailing Address - Fax:
Practice Address - Street 1:4545 S NOLAND RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-4887
Practice Address - Country:US
Practice Address - Phone:816-478-1968
Practice Address - Fax:816-479-5649
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021035493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist