Provider Demographics
NPI:1700191780
Name:LANGLEY, DONNA RAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:RAY
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:MARIA
Other - Last Name:RAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3251 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2345
Mailing Address - Country:US
Mailing Address - Phone:504-891-7653
Mailing Address - Fax:504-943-9862
Practice Address - Street 1:1100 ELYSIAN FIELDS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-8404
Practice Address - Country:US
Practice Address - Phone:504-943-9788
Practice Address - Fax:504-943-9862
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist