Healthcare Provider Details
I. General information
NPI: 1508815671
Provider Name (Legal Business Name): LESLEY KAY LANGFORD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/08/2006
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 TUNNEL RD
ASHEVILLE NC
28805-2576
US
IV. Provider business mailing address
1100 TUNNEL RD
ASHEVILLE NC
28805-2576
US
V. Phone/Fax
- Phone: 282-987-9118
- Fax:
- Phone: 828-298-7911
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 16284 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 16284 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: