Individual
MONICA WILSON DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
285 W PINE ST, PONCHATOULA, LA 70454-3310
(985) 386-6132
Mailing address
PO BOX 40363, BATON ROUGE, LA 70835-0363
(214) 223-3927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18396
LA
183500000X
Pharmacist
42739
TX
Other
Enumeration date
09/12/2012
Last updated
12/15/2020
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