Individual
BAILLEY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2800 PORTRUSH DR APT 11, SPARTANBURG, SC 29301-3349
(503) 521-6152
Mailing address
2800 PORTRUSH DR APT 11, SPARTANBURG, SC 29301-3349
(503) 521-6152
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
43180
SC
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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