Individual
CHRISTOPHER ROGER LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 624-0423
Mailing address
1309 COAL AVE SE, ALBUQUERQUE, NM 87106-5264
(505) 974-1878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009745
NM
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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