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NPI Code Detail

MEDICARE: AUSTIN LANGE PHARMD

MEDICARE: AUSTIN LANGE 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
1183500000XPharmacist12348719-1701UT

General Provider Information

NPI Number : 1871457580
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN LANGE PHARMD
Provider Business Mailing Address
First Line : 2358 N 73RD ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1210
Country : US
Telephone Number : 414-916-9443
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W NATIONAL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53295-0001
Country : US
Telephone Number : 414-384-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ AUSTIN LANGE PHARMD” Practice Location

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