Individual
JEFF RUSSELL LANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
906 S MERRIFIELD AVE, MISHAWAKA, IN 46544-2807
(574) 256-7522
(574) 256-7524
Mailing address
906 S MERRIFIELD AVE, MISHAWAKA, IN 46544-2807
(574) 256-7522
(574) 256-7524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26091666A
IN
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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