Provider Demographics
NPI:1740564236
Name:LANGLOIS, CARL LOUIS JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:LOUIS
Last Name:LANGLOIS
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 E GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5151
Mailing Address - Country:US
Mailing Address - Phone:334-821-2216
Mailing Address - Fax:334-821-7087
Practice Address - Street 1:765 E GLENN AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5151
Practice Address - Country:US
Practice Address - Phone:334-821-2216
Practice Address - Fax:334-821-7087
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10789183500000X
FLPS21747183500000X
GARPH021450183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist