Langham, Theodore

Langham, Theodore is an individual health care provider with primary practice located at 2030 Dorsett Vlg , Maryland Heights MO 63043-2208. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Langham, Theodore can be contacted via phone (314) 434-5496.

Contact Information

Primary practice address
2030 Dorsett Vlg Maryland Heights MO 63043-2208
Phone: (314) 434-5496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2018041594 Missouri

Profile Details

NPI number 1679110167
LBN Legal business name Langham, Theodore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Dec 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679110167 NPPES
Missouri Other 2018041594 MISSOURI PHARMACY LICENSE

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