Whalio Doctors

NPI 1104002674

Allen C Lang

Organisation Community/Retail Pharmacy Medford, WI

Practice location

Address
210 S Main St, Medford, WI 54451-1843
Phone
(715) 748-4477
Fax
(715) 748-5848

Authorised official

Name
Allen C Lang
Title
Owner/Pharmacist
Phone
(715) 748-4477

Registered specialties

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 6494-42 (WI)

Registry record

NPI
1104002674
Entity type
Organization
NPI issued
15 Jan 2008
Record last updated
16 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.