MEDICARE: DR. PHILIP JAMES LANGELIER 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
1	183500000X	Pharmacist	67917	CA

General Provider Information

NPI Number	:	1821572611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP JAMES LANGELIER PHARMD

Provider Business Mailing Address
First Line	:	9260 TOWNE CENTRE DR UNIT 19
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3007
Country	:	US
Telephone Number	:	951-259-2162
Fax Number	:

Provider Business Practice Location Address
First Line	:	10130 SORRENTO VALLEY RD STE B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1643
Country	:	US
Telephone Number	:	858-622-1330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	09/18/2018

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