Individual
JERRY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
7122 WILL ROBBINS HWY, NETTLETON, MS 38858-5918
(662) 591-5234
Mailing address
72 W ROBINSON ST, HERNANDO, MS 38632-1918
(901) 262-0736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010738
MS
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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