Provider Demographics
NPI:1497028591
Name:LANG, CARRIE A (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:A
Last Name:LANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10622 LAFAYETTE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2557
Mailing Address - Country:US
Mailing Address - Phone:774-766-0436
Mailing Address - Fax:
Practice Address - Street 1:10622 LAFAYETTE CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2557
Practice Address - Country:US
Practice Address - Phone:774-766-0436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1797183500000X
CO17504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist