# ALLEN C LANG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDFORD VALU-RITE DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104002674
- **Authorized official:** MR. ALLEN C LANG R.PH. (OWNER/PHARMACIST)
- **Authorized official phone:** (715) 748-4477

## Contact information

- **Practice address:** 210 S MAIN ST, MEDFORD, WI 54451-1843
- **Practice address phone:** (715) 748-4477
- **Practice address fax:** (715) 748-5848
- **Mailing address:** 210 S MAIN ST, MEDFORD, WI 54451-1843
- **Mailing address phone:** (715) 748-4477
- **Mailing address fax:** (715) 748-5848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6494-42 | WI | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33040200 | — | WI |