Provider Demographics
NPI:1558359000
Name:LANGLEY, JULIE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 RALEIGH ROAD PKWY, W SUITE 10A
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896
Mailing Address - Country:US
Mailing Address - Phone:252-237-3186
Mailing Address - Fax:252-291-0517
Practice Address - Street 1:3401 RALEIGH ROAD PKWY W STE 10A
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-8222
Practice Address - Country:US
Practice Address - Phone:252-237-3186
Practice Address - Fax:252-291-0517
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist