Individual
GAIL M VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
606 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-9100
(417) 466-2000
Mailing address
14459 LAWRENCE 2090, MOUNT VERNON, MO 65712-6210
(417) 466-7246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043349
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043349
PHARMACIST LICENSE
MO
Enumeration date
09/27/2006
Last updated
07/08/2007
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