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NPI Code Detail

MEDICARE: MR. LANGDON LI PHARMD.

MEDICARE: MR. LANGDON LI PHARMD.
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
1183500000XPharmacistS017471AZ

General Provider Information

NPI Number : 1124358346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LANGDON LI PHARMD.
Provider Business Mailing Address
First Line : 4302 W BUCKEYE RD STE 109
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-4904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4302 W BUCKEYE RD STE 109
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-4904
Country : US
Telephone Number : 800-379-0092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 07/21/2022

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Directions to “ MR. LANGDON LI PHARMD.” Practice Location

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