Individual
JENNIFER L VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
211 MAIN ST, MOUND CITY, IL 62963-1163
(618) 748-9253
(618) 748-9850
Mailing address
PO BOX 110, MOUND CITY, IL 62963-0110
(618) 748-9253
(618) 748-9850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-286696
IL
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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