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NPI Code Detail

MEDICARE: DR. ALLISON RACHEL LANG PHARM.D.

MEDICARE: DR. ALLISON RACHEL 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
1183500000XPharmacist15796OK

General Provider Information

NPI Number : 1598164287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON RACHEL LANG PHARM.D.
Provider Business Mailing Address
First Line : 12273 N 167TH EAST AVE
Second Line :
City : COLLINSVILLE
State : OK
Zip : 74021-5899
Country : US
Telephone Number : 314-610-3692
Fax Number :
Provider Business Practice Location Address
First Line : 10019 S MEMORIAL DR
Second Line :
City : TULSA
State : OK
Zip : 74133-6103
Country : US
Telephone Number : 918-615-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 08/19/2014

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