Healthcare Provider Details

I. General information

NPI: 1790874576
Provider Name (Legal Business Name): RONALD MUNROE LANGLEY PHARM D RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. RONALD MUNROE LANGLEY

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MARSHALL ST IN CARE OF NPI RON
LITCHFIELD MI
49252-0453
US

IV. Provider business mailing address

PO BOX 453 111 MARSHALL ST IN CARE OF NPI RON
LITCHFIELD MI
49252-0453
US

V. Phone/Fax

Practice location:
  • Phone: 517-542-7770
  • Fax: 517-542-7771
Mailing address:
  • Phone: 517-542-7770
  • Fax: 517-542-7771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302020686
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: