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NPI Code Detail

MEDICARE: SEAN LANG PHARMD

MEDICARE: SEAN LANG 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
1183500000XPharmacist19157080652MI

General Provider Information

NPI Number : 1033734082
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN LANG PHARMD
Provider Business Mailing Address
First Line : 52884 SEVEN OAKS DR
Second Line :
City : SHELBY TWP
State : MI
Zip : 48316-2988
Country : US
Telephone Number : 586-914-2148
Fax Number :
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-966-3148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2020
Last Update Date : 06/15/2020

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Directions to “ SEAN LANG PHARMD” Practice Location

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