Individual
BRYAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
1460 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-3553
(931) 848-1134
Mailing address
1460 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-3553
(931) 849-1134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
981
TN
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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