Individual provider · Type 1 NPI
Phoua Diane Vang
Pharmacist · Santa Rosa, CA
Practice location
1002 Jennings Ave, Apt 208
Santa Rosa, CA 95401-4293
Mailing address
401 Bicentennial Way, Room #2117
Santa Rosa, CA 95403-2149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 75719 (CA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1740731678
Phoua Diane Vang's National Provider Identifier is 1740731678, issued on Oct 14, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 14, 2016.