Provider Demographics
NPI:1932857042
Name:LANG, DAMON CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:CHARLES
Last Name:LANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 SE MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-1643
Mailing Address - Country:US
Mailing Address - Phone:785-969-4616
Mailing Address - Fax:
Practice Address - Street 1:2739 SE MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-1643
Practice Address - Country:US
Practice Address - Phone:785-969-4616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist