Tyson Brad Lang, RPH

NPI #1396098877 in Whitehall, Wisconsin

Provider Information

NPI Number: 1396098877
Entity Type: Individual
Name: Tyson Brad Lang, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 20, 2012
Last Updated: Oct 20, 2012

Practice Location

Address: 36363 MAIN ST
City: Whitehall
State: Wisconsin
ZIP Code: 54773-9186
Phone: (715) 538-4947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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