Individual
DR. MARC A VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
N171W21840 CAYMUS CT, JACKSON, WI 53037-1211
(262) 677-1401
Mailing address
N171W21840 CAYMUS CT, JACKSON, WI 53037-1211
(262) 677-1401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293069
IL
1835G0303X
Geriatric Pharmacist
Primary
18274-40
WI
Other
Enumeration date
03/26/2011
Last updated
03/03/2025
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