Individual
ANGIE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
PO BOX 611, ALTOONA, AL 35952-0611
(205) 466-3666
(205) 466-5511
Mailing address
335 CHAFFIN RD, HORTON, AL 35980
(205) 466-3666
(205) 466-5511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13213
AL
183500000X
Pharmacist
Primary
AL 13213
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942445
—
AL
05
—
100003528
—
AL
Enumeration date
02/09/2007
Last updated
05/15/2025
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