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Contact Information

VANCE T WALL SR, R.PH.
2820 AUGUSTA ROAD
LANGLEY, SC29834
 Phone: 803-593-3411
 Fax: 803-593-6090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for VANCE T WALL SR · (Male)

NPI Number 1518141753
Status Active
Credentials R.PH. (Registered Pharmacist)
Entity Individual
Enumeration date 12/24/2007
Last updated 12/24/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 4236
  • GA Other 13303 STATE PHARMACY LICENSE
  • SC Other 4236 STATE PHARMACY LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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