Individual
TIMOTHY GEORGE LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS, CDE
Contact information
Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-3554
Mailing address
330 S CHILOQUIN BLVD, PO BOX 490, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-3554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010620
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0010620
OR
Other
Enumeration date
12/19/2005
Last updated
01/15/2016
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