Individual
DOUA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4178
(406) 258-4789
Mailing address
401 RAILROAD ST W, MISSOULA, MT 59802-4178
(406) 258-4789
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PHA-PHA-LIC-39753
MT
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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