Individual
MICHAEL WALTER LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13 1/2 POND ST, NEWBURYPORT, MA 01950-3900
(978) 462-5339
Mailing address
13 1/2 POND ST, NEWBURYPORT, MA 01950-3900
(978) 462-5339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238980
MA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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