Provider Demographics
NPI:1629178132
Name:LANGER, SHERWIN EARL
Entity Type:Individual
Prefix:
First Name:SHERWIN
Middle Name:EARL
Last Name:LANGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8843 WILD DUNES DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-9648
Mailing Address - Country:US
Mailing Address - Phone:941-924-5699
Mailing Address - Fax:863-494-5711
Practice Address - Street 1:1330 E OAK ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8952
Practice Address - Country:US
Practice Address - Phone:863-494-2444
Practice Address - Fax:863-494-5711
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0031283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH12007OtherFLORIDA PHARMACY NUMBER
FL1068344OtherNCPD NUMBER
FL1720009020OtherNPI NUMBER OF PHARMACY
FL1720009020OtherNPI NUMBER OF PHARMACY