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Individual

MR. CHRISTOPHER LEE VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P. D.

Contact information

Practice address
109 EE WALLACE BLVD N, FERRIDAY, LA 71334-2819
(318) 757-4811
(318) 757-4439
Mailing address
109 EE WALLACE BLVD N, P. O. BOX 647, FERRIDAY, LA 71334-2819
(318) 757-4811
(318) 757-4439

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14608
LA
183500000X
Pharmacist
E-7903
MS

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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