Individual
MRS. CELESTE MARTIN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
114 FOX TRCE, SIMPSONVILLE, SC 29680-7000
(864) 640-3200
Mailing address
114 FOX TRCE, SIMPSONVILLE, SC 29680-7000
(864) 640-3200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7629
SC
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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