Vance Timothy Wall in Langley - Pharmacist
Vance Timothy Wall - NPI 1518141753
Vance Timothy Wall is a Pharmacist in Langley, South Carolina. Vance Timothy Wall practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Vance Timothy Wall is 1518141753. The last update date is 2007-12-24.
Vance Timothy Wall's current location address is Po Box 1860, Langley, South Carolina. You can contact this provider via phone number 8035933411 and fax number 8668380951. The mailing address for Vance Timothy Wall is Po Box 1860, Langley, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vance Timothy Wall |
|---|---|
| Address | Po Box 1860, Langley, South Carolina |
| Phone Number | 8035933411 |
| Fax Number | 8668380951 |
| Sole Proprietor | Y |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1518141753 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2007-12-24 |
Provider Mailing Address Detail
| Address | Po Box 1860 |
|---|---|
| City | Langley |
| State | South Carolina (SC) |
| Post Code | 298341860 |
| Phone Number | 8035933411 |
| Fax Number | 8668380951 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 4236 |
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Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4236 | SC | STATE PHARMACY LICENSE | |
| 13303 | GA | STATE PHARMACY LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Vance Timothy Wall by the Centers for Medicare & Medicaid Services (CMS)?
The Vance Timothy Wall has been assigned the NPI (National Provider Identifier) 1518141753. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Vance Timothy Wall is physically located?
The Vance Timothy Wall is situated at the following address: Po Box 1860, Langley, SC 298341860.
What is Vance Timothy Wall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vance Timothy Wall's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518141753 to Vance Timothy Wall?
The Centers for Medicare & Medicaid Services originally issued the 1518141753 to Vance Timothy Wall on 2007-12-24.
As of what date were the details related to Vance Timothy Wall most recently updated or revised?
The information pertaining to Vance Timothy Wall, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-24.