MEDICARE: CASSANDRA LANG PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	S022050	AZ

General Provider Information

NPI Number	:	1043767007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA LANG PHARM.D

Provider Business Mailing Address
First Line	:	77 W CAMINO RIO CEBOLLA
Second Line	:
City	:	SAHUARITA
State	:	AZ
Zip	:	85629-8837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4748 E SUNRISE DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-4535
Country	:	US
Telephone Number	:	520-577-1044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	09/07/2016

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Directions to “ CASSANDRA LANG PHARM.D” Practice Location

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