| NPI | 1083637987 |
|---|---|
| Doing Business As | DOUGHERTYS HOME CARE PHCY |
| Entity Type | Organization |
| Authorized Contact | DAVID BOWE Cea 972-250-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 16496) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |