Provider Demographics
NPI:1871246496
Name:VAUGHAN, JULIE G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:G
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17303 WITTEN CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7648
Mailing Address - Country:US
Mailing Address - Phone:303-667-6584
Mailing Address - Fax:
Practice Address - Street 1:17303 WITTEN CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7648
Practice Address - Country:US
Practice Address - Phone:303-667-6584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist