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NPI Code Detail

MEDICARE: MR. DANIEL MARRA VAUGHAN RPH

MEDICARE:  MR. DANIEL MARRA VAUGHAN  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6824CT
2183500000XPharmacistPS30415FL

General Provider Information

NPI Number : 1982036398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL MARRA VAUGHAN RPH
Provider Business Mailing Address
First Line : 100 FELICITY LN
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-6101
Country : US
Telephone Number : 860-605-4027
Fax Number :
Provider Business Practice Location Address
First Line : 100 FELICITY LN
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-6101
Country : US
Telephone Number : 860-605-4027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2013
Last Update Date : 08/07/2013

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Directions to “ MR. DANIEL MARRA VAUGHAN RPH” Practice Location

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