| NPI | 1578093183 |
|---|---|
| Doing Business As | DOUGHERTY'S LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW KOMUVES President&CEO 972-860-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 31452) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-07-19 |