| Vance Timothy Wall Sr, RPH | |
|
2820 Augusta Road, Langley, SC 29834 | |
| (803) 593-3411 | |
| (803) 593-6090 |
| Full Name | Vance Timothy Wall Sr |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 2820 Augusta Road, Langley, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518141753 | NPI | - | NPPES |
| 4236 | Other | SC | STATE PHARMACY LICENSE |
| 13303 | Other | GA | STATE PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 4236 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vance Timothy Wall Sr, RPH Po Box 1860, Langley, SC 29834-1860 Ph: (803) 593-3411 | Vance Timothy Wall Sr, RPH 2820 Augusta Road, Langley, SC 29834 Ph: (803) 593-3411 |
Martha Willing Martin, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2820 Augusta Rd, Langley, SC 29834 Phone: 803-593-3411 | |
Mr. William Gunn Sawyer, REG PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2820 Augusta Rd, Langley, SC 29834 Phone: 803-593-3411 |