Healthcare Provider Details

I. General information

NPI: 1225932643
Provider Name (Legal Business Name): BRITTANY VAUGHT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 THACKER AVE
COVINGTON VA
24426-2264
US

IV. Provider business mailing address

PO BOX 1159
LEWISBURG WV
24901-4159
US

V. Phone/Fax

Practice location:
  • Phone: 540-962-6670
  • Fax:
Mailing address:
  • Phone: 304-887-6098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0015374
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: