# VAUGHANS CITY DRUGS OF CONCORDIA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vaughans City Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366504169
- **Authorized official:** CHRISTOPHER L VAUGHAN RPH (OWNER)
- **Authorized official phone:** (318) 757-4811

## Contact information

- **Practice address:** 109 EE WALLACE BLVD N, FERRIDAY, LA 71334-2819
- **Practice address phone:** (318) 757-4811
- **Practice address fax:** (318) 757-4439
- **Mailing address:** 109 EE WALLACE BLVD, FERRIDAY, LA 71334-2806
- **Mailing address phone:** (318) 757-4811
- **Mailing address fax:** (318) 757-4439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 5305IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 11/24/2024