Provider Demographics
NPI:1508970583
Name:ROBBY LANG ENTERPRISES INC
Entity Type:Organization
Organization Name:ROBBY LANG ENTERPRISES INC
Other - Org Name:MANY PROFESSIONAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-256-3426
Mailing Address - Street 1:220 HIGHLAND DR
Mailing Address - Street 2:STE E
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-3718
Mailing Address - Country:US
Mailing Address - Phone:318-256-3426
Mailing Address - Fax:318-256-0101
Practice Address - Street 1:220 HIGHLAND DR
Practice Address - Street 2:STE E
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3764
Practice Address - Country:US
Practice Address - Phone:318-256-3426
Practice Address - Fax:318-256-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
LAPHY.001872-IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1255190Medicaid
2030834OtherPK
2030834OtherPK