Individual
KATELYN VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2135 N WEST AVE, EL DORADO, AR 71730-3351
(870) 862-5458
Mailing address
104 MAPLE RIDGE RD, EL DORADO, AR 71730-5224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14148
AR
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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