Individual
ZACHARIAH VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3475 BLACK FOREST DR, FAYETTEVILLE, AR 72704-6524
(479) 442-2276
Mailing address
3475 BLACK FOREST DR, FAYETTEVILLE, AR 72704-6524
(479) 871-6158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15808
AR
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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