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Individual

SAMUEL VANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
5300 MEMORIAL DR, SUITE 103, TWO RIVERS, WI 54241-3923
(920) 793-7380
(920) 793-7381
Mailing address
5300 MEMORIAL DR, SUITE 103, TWO RIVERS, WI 54241-3923
(920) 793-7380
(920) 793-7381

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13748-40
WI

Other

Enumeration date
08/05/2013
Last updated
08/05/2013
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