Vaughn, Candice L
Vaughn, Candice L is an individual health care provider with primary practice located at 109 Kerr Blvd , Poteau OK 74953-5231. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Vaughn, Candice L can be contacted via phone (918) 649-1100.Contact Information
Primary practice address
109 Kerr Blvd
Poteau OK 74953-5231
Phone: (918) 649-1100
Fax: (918) 649-1102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13112 | Oklahoma |
Profile Details
| NPI number | 1871651091 |
|---|---|
| LBN Legal business name | Vaughn, Candice L |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871651091 | NPPES |
| Oklahoma | Other | 13112 | STATE LIC NUMBER |
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