Susan Vaught
Pharmacist in Memphis, TN. Individual provider (NPI-1).
NPI number1881978013
StatusActive
Last updated in NPPESOct 6, 2011
Details
- NPI
- 1881978013
- Entity type
- Individual (NPI-1)
- Name
- Susan Vaught
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2011
- Last updated
- Oct 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | C7474 | TN | Yes |
Practice location
4680 Poplar AveMemphis, TN 38117-4402
Phone 901-683-2488
Mailing address
4680 Poplar AveMemphis, TN 38117-4402
Phone 901-683-2488
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