MRS. Elisha Dougherty, PHARMD

NPI #1073862843 in Benton, Kentucky

Provider Information

NPI Number: 1073862843
Entity Type: Individual
Name: MRS. Elisha Dougherty, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 7, 2012
Last Updated: Sep 7, 2012

Practice Location

Address: 1004 BIG BEAR HWY
City: Benton
State: Kentucky
ZIP Code: 42025
Phone: (270) 703-1169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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