Individual
DR. JESSICA NICOLE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1260 E CENTRAL AVE, MIAMISBURG, OH 45342-3546
(937) 859-3879
(937) 859-4013
Mailing address
1260 E CENTRAL AVE, MIAMISBURG, OH 45342-3546
(937) 859-3879
(937) 859-4013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03129710
OH
Other
Enumeration date
10/31/2011
Last updated
12/09/2011
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