Provider Demographics
NPI:1841011160
Name:LAFFEY, VANTONILE VIEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VANTONILE
Middle Name:VIEN
Last Name:LAFFEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:VANTONILE
Other - Middle Name:VIEN
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5075 MOORELAND OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-1039
Mailing Address - Country:US
Mailing Address - Phone:717-315-6103
Mailing Address - Fax:
Practice Address - Street 1:9820 CALLABRIDGE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-7669
Practice Address - Country:US
Practice Address - Phone:704-392-3131
Practice Address - Fax:704-392-3484
Is Sole Proprietor?:No
Enumeration Date:2024-10-19
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist