KONG VANG

MADISON, WI
NPI1477821387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  13997)
Enumeration Date2011-12-06
Last Update Date2011-12-06
Business Address
-- KONG VANG PharmD
3518 MEMORIAL DR
MADISON, WI 53704-1574
Phone number: 608-628-0256
Mailing Address
-- KONG VANG PharmD
PO BOX 164
COTTAGE GROVE, WI 53527-0164
Phone number:
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