Provider Demographics
NPI:1487938080
Name:LANGMAN, MARY ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANN
Last Name:LANGMAN
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 1:25W740 WENONA LN
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-7835
Mailing Address - Country:US
Mailing Address - Phone:630-752-8860
Mailing Address - Fax:
Practice Address - Street 1:324 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5647
Practice Address - Country:US
Practice Address - Phone:630-858-2930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-037436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist