Provider Demographics
NPI:1306522842
Name:LANGER, SAMUEL QUINN
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:QUINN
Last Name:LANGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-2008
Mailing Address - Country:US
Mailing Address - Phone:717-526-9255
Mailing Address - Fax:
Practice Address - Street 1:1195 LOWTHER RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7531
Practice Address - Country:US
Practice Address - Phone:923-071-7737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician