Individual
MANDY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(000) 000-0000
Mailing address
PO BOX 859, BISBEE, AZ 85603
(610) 390-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025763
AZ
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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