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NPI Code Detail

MEDICARE: MIKAYLA LANG PHARM.D.

MEDICARE: MIKAYLA 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
1183500000XPharmacist051.307183IL

General Provider Information

NPI Number : 1477495711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA LANG PHARM.D.
Provider Business Mailing Address
First Line : 1775 DEMPSTER ST
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1775 DEMPSTER ST
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1143
Country : US
Telephone Number : 847-723-2210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ MIKAYLA LANG PHARM.D.” Practice Location

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