Individual
DR. AMY RENEE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
4901 S MILL ST, PRYOR, OK 74361-6800
(918) 825-3663
(918) 825-4141
Mailing address
2774 WOODSTONE DR, CATOOSA, OK 74015-6500
(918) 857-7786
(918) 825-4141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14592
OK
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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