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Marc Vaughan, PHARMD — NPI 1659670800, Jackson, WI | NPI Central

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NPI 1659670800

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Marc Vaughan, PHARMD

NPI 1659670800 · Geriatric Pharmacist · Jackson, WI

Provider details

NPI number: 1659670800
Entity type: Individual
Primary specialty: Geriatric PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 051.293069 (IL)

Specialties & taxonomies

Geriatric PharmacistPrimary1835G0303XLicense 18274-40 (WI)
Pharmacy Service Providers
Pharmacist183500000XLicense 051.293069 (IL)
Pharmacy Service Providers

Practice location

N171w21840 Caymus Ct

Jackson, WI 53037-1211

Phone: (262) 677-1401

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

N171w21840 Caymus Ct

Jackson, WI 53037-1211

Additional practice locations (1)

540 W North St Ste 211
Manhattan, IL 60442-8202
Phone: (815) 478-4477
Fax: (815) 478-5530

Registry dates

Enumerated: 2011-03-26
Last updated: 2025-03-03
Certified: 2025-03-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.