Individual
DR. CANDICE L VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
109 KERR BLVD, POTEAU, OK 74953-5231
(918) 649-1100
(918) 649-1102
Mailing address
109 KERR BLVD, POTEAU, OK 74953-5231
(918) 649-1100
(918) 649-1102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13112
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13112
STATE LIC NUMBER
OK
Enumeration date
12/04/2006
Last updated
07/08/2007
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