Provider Demographics
NPI:1942319793
Name:LANG, VALERIE JEAN (RPH)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:JEAN
Last Name:LANG
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 1:10147 GRAND AVE
Mailing Address - Street 2:B1
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3435
Mailing Address - Country:US
Mailing Address - Phone:602-222-2630
Mailing Address - Fax:602-222-2633
Practice Address - Street 1:10147 GRAND AVE
Practice Address - Street 2:B1
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3435
Practice Address - Country:US
Practice Address - Phone:602-222-2630
Practice Address - Fax:602-222-2633
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1125528183500000X
AZ7855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist