MR. Thomas Raymond Dougherty
NPI #1194441477 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1194441477
- Entity Type
- Individual
- Name
- MR. Thomas Raymond Dougherty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 18, 2022
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 901 W 15TH ST
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18201-2783
- Phone
- (570) 708-4690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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