Jerry Vaughn, PHARM D Valid NPI
Individual provider · Pharmacist · Nettleton, MS
- NPI
- 1497335731
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- E-010738 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-04-12
- Last updated
- 2021-04-12
Practice location
7122 Will Robbins Hwy
Nettleton, MS 38858-5918
(662) 591-5234