TIMOTHY JOSEPH DOHERTY

BOSSIER CITY, LA
NPI1669806725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  13320)
Additional Taxonomies183500000X Pharmacist
(Licence: TX  36933)
Enumeration Date2013-08-26
Last Update Date2013-08-26
Business Address
Mr. TIMOTHY JOSEPH DOHERTY RPh
801 BENTON RD
BOSSIER CITY, LA 71111-3743
Phone number: 318-742-3509
Mailing Address
Mr. TIMOTHY JOSEPH DOHERTY RPh
4057 WOODWAY DR
BENTON, LA 71006-9354
Phone number: 318-965-1844
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