Provider Demographics
NPI:1851402051
Name:LANGFERMAN, PAMELA J (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:J
Last Name:LANGFERMAN
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 1:4933 NORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-1007
Mailing Address - Country:US
Mailing Address - Phone:812-372-3382
Mailing Address - Fax:
Practice Address - Street 1:2715 MERCHANT MILE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-1573
Practice Address - Country:US
Practice Address - Phone:812-373-9273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013345A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist