Provider Demographics
NPI:1043193386
Name:LANGFORD, SAMANTHA KELLY (PHARMD)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:KELLY
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 HARMONY HALL WAY APT 206
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5299
Mailing Address - Country:US
Mailing Address - Phone:208-660-1377
Mailing Address - Fax:
Practice Address - Street 1:100 LAW RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2716
Practice Address - Country:US
Practice Address - Phone:910-822-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist