Provider Demographics
NPI:1427358258
Name:LANGLOIS, ALAN FRANCIS
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:FRANCIS
Last Name:LANGLOIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 OTAY LAKES RD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1000
Mailing Address - Country:US
Mailing Address - Phone:619-656-3629
Mailing Address - Fax:619-656-0875
Practice Address - Street 1:2250 OTAY LAKES RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-1000
Practice Address - Country:US
Practice Address - Phone:619-656-3629
Practice Address - Fax:619-656-0875
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58248183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist