Allen Daugherty

NPI #1144825407 in Ottawa, Illinois

Provider Information

NPI Number: 1144825407
Entity Type: Individual
Name: Allen Daugherty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 4041 VETERANS DR
Address 2: 4041 VETERANS DR
City: Ottawa
State: Illinois
ZIP Code: 61350-9602
Phone: (815) 434-0176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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