Provider Demographics
NPI:1609853274
Name:LANGS PHARMACY INC
Entity Type:Organization
Organization Name:LANGS PHARMACY INC
Other - Org Name:LANGS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVISON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:203-966-9593
Mailing Address - Street 1:136 ELM ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5406
Mailing Address - Country:US
Mailing Address - Phone:203-966-9593
Mailing Address - Fax:203-966-9685
Practice Address - Street 1:136 ELM ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5406
Practice Address - Country:US
Practice Address - Phone:203-966-9593
Practice Address - Fax:203-966-9685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CTPCY0000483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0705193OtherNCPDP PROVIDER IDENTIFICATION NUMBER