| NPI | 1124012315 |
|---|---|
| Doing Business As | DOUGHERTY'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY DEWITT CEO 254-722-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 03246) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2021-11-15 |