Provider Demographics
NPI:1790984094
Name:LANGAN, ANGELA E (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:E
Last Name:LANGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 N HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-2981
Mailing Address - Country:US
Mailing Address - Phone:308-345-2560
Mailing Address - Fax:308-345-1947
Practice Address - Street 1:902 N HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-2981
Practice Address - Country:US
Practice Address - Phone:308-345-2560
Practice Address - Fax:308-345-1947
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist