Provider Demographics
NPI:1225025745
Name:VAUGHN, AMANDA LEHENBAUER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:LEHENBAUER
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:LYNN
Other - Last Name:LEHENBAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2070 MISTY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7267
Mailing Address - Country:US
Mailing Address - Phone:919-520-8154
Mailing Address - Fax:
Practice Address - Street 1:960 KILDAIRE FARM RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3923
Practice Address - Country:US
Practice Address - Phone:919-467-0345
Practice Address - Fax:919-467-5818
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17833183500000X
MO2005012062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist