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Maily Vang

Pharmacist in Galt, CA. Individual provider (NPI-1).

NPI number1962032151
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1962032151
Entity type
Individual (NPI-1)
Name
Maily Vang
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2020
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist81511CAYes

Practice location

1063 C St
Galt, CA 95632-1700

Phone 209-745-9534

Mailing address

1909 Bordeaux Ave
Stockton, CA 95210-3106

Phone 209-905-1019

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