Provider Demographics
NPI:1497410138
Name:LANGDON, BROOKLYN SHYAN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:BROOKLYN
Middle Name:SHYAN
Last Name:LANGDON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:BROOKLYN
Other - Middle Name:SHYAN
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:6086 KY HIGHWAY 451
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-5860
Mailing Address - Country:US
Mailing Address - Phone:606-216-8814
Mailing Address - Fax:
Practice Address - Street 1:6086 KY HIGHWAY 451
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-5860
Practice Address - Country:US
Practice Address - Phone:606-216-8814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist