Individual
PA KOU VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7171 N TEUTONIA AVE, MILWAUKEE, WI 53209-2319
(414) 351-2538
(414) 351-2495
Mailing address
7171 N TEUTONIA AVE, MILWAUKEE, WI 53209-2319
(414) 351-2538
(414) 351-2495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19112-40
WI
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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