Dr. Larry Bradford Vaughn, PharmD
Pharmacist in Monterey, TN. Individual provider (NPI-1).
NPI number1336734458
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1336734458
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry Bradford Vaughn
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2021
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 12246 | TN | Yes |
Practice location
201 N Elmore St Ste FMonterey, TN 38574-1260
Phone 931-839-6777 · Fax 931-839-6779
Mailing address
201 N Elmore St Ste FMonterey, TN 38574-1260
Phone 931-839-6777 · Fax 931-839-6779
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